Elizabeth Bogardus Ison, LICSW SOCIAL WORKER
NPI #1730196403 in Wakefield, Rhode Island
Provider Information
- NPI Number
- 1730196403
- Entity Type
- Individual
- Name
- Elizabeth Bogardus Ison, LICSW SOCIAL WORKER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Credential
- LICSW SOCIAL WORKER
- Enumeration Date
- Aug 2, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 24 SALT POND ROAD
- Address 2
- STE D4
- City
- Wakefield
- State
- Rhode Island
- ZIP Code
- 02879
- Phone
- (401) 789-3694
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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