Jeanne Bazelak, LICSW
NPI #1801952924 in Johnston, Rhode Island
Provider Information
- NPI Number
- 1801952924
- Entity Type
- Individual
- Name
- Jeanne Bazelak, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Jan 1, 2007
- Last Updated
- Jan 30, 2023
Practice Location
- Address
- 1308 ATWOOD AVE
- City
- Johnston
- State
- Rhode Island
- ZIP Code
- 02919-4936
- Phone
- (401) 942-8449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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