Mary Ridge I, LICSW
NPI #1295834323 in Pawtucket, Rhode Island
Provider Information
- NPI Number
- 1295834323
- Entity Type
- Individual
- Name
- Mary Ridge I, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Sep 22, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 160 BEECHWOOD AVE
- City
- Pawtucket
- State
- Rhode Island
- ZIP Code
- 02860-5402
- Phone
- (401) 722-5573
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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