MR. Theodore William Blickwedel II, MSW, LICSW
NPI #1669957932 in Johnston, Rhode Island
Provider Information
- NPI Number
- 1669957932
- Entity Type
- Individual
- Name
- MR. Theodore William Blickwedel II, MSW, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- MSW, LICSW
- Enumeration Date
- Oct 2, 2018
- Last Updated
- Oct 2, 2018
Practice Location
- Address
- 1395 ATWOOD AVE STE 201
- City
- Johnston
- State
- Rhode Island
- ZIP Code
- 02919-4931
- Phone
- (401) 383-7633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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