Wendy Mumford, LICSW

NPI #1003292921 in Foster, Rhode Island

Provider Information

NPI Number: 1003292921
Entity Type: Individual
Name: Wendy Mumford, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Aug 3, 2015
Last Updated: Aug 3, 2015

Practice Location

Address: 189 PUTNAM PIKE
City: Foster
State: Rhode Island
ZIP Code: 02825
Phone: (508) 330-1545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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