MRS. Mary Louise Taft, MSW, LICSW

NPI #1306946983 in Portsmouth, Rhode Island

Provider Information

NPI Number: 1306946983
Entity Type: Individual
Name: MRS. Mary Louise Taft, MSW, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: MSW, LICSW
Enumeration Date: Sep 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 11 KING CHARLES DR
Address 2: SUITE A4A
City: Portsmouth
State: Rhode Island
ZIP Code: 02871-1364
Phone: (401) 683-0920

Specialties & Taxonomy Codes

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

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