Jackalyn Sara Venditto, LICSW
NPI #1306870472 in North Kingstown, Rhode Island
Provider Information
- NPI Number
- 1306870472
- Entity Type
- Individual
- Name
- Jackalyn Sara Venditto, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Jul 11, 2006
- Last Updated
- May 20, 2011
Practice Location
- Address
- 10 ROLLINGWOOD DR
- City
- North Kingstown
- State
- Rhode Island
- ZIP Code
- 02852-4614
- Phone
- (401) 529-5019
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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