Tara Melissa Mcconkey, LICSW
NPI #1871718981 in Pawtucket, Rhode Island
Provider Information
- NPI Number
- 1871718981
- Entity Type
- Individual
- Name
- Tara Melissa Mcconkey, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Apr 16, 2007
- Last Updated
- Mar 2, 2009
Practice Location
- Address
- 82 POND ST
- City
- Pawtucket
- State
- Rhode Island
- ZIP Code
- 02860-4462
- Phone
- (401) 365-6103
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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