Thomas Mack, LCSW

NPI #1508129362 in Providence, Rhode Island

Provider Information

NPI Number: 1508129362
Entity Type: Individual
Name: Thomas Mack, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Jun 18, 2012
Last Updated: Mar 21, 2014

Practice Location

Address: 528 N MAIN ST
City: Providence
State: Rhode Island
ZIP Code: 02904-5757
Phone: (401) 383-5811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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