Molly Leigh Dietzler O'Brien, LICSW
Social Worker, Clinical in Warwick, RI. Individual provider (NPI-1).
NPI number1083166458
StatusActive
Last updated in NPPESNov 1, 2016
Details
- NPI
- 1083166458
- Entity type
- Individual (NPI-1)
- Name
- Miss Molly Leigh Dietzler O'Brien
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2016
- Last updated
- Nov 1, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | ISW02668 | RI | Yes |
Practice location
1045 Warwick AveSuite 101
Warwick, RI 02888-3665
Phone 401-406-1205 · Fax 401-270-0660
Mailing address
1045 Warwick AveSuite 101
Warwick, RI 02888-3665
Phone 401-406-1205 · Fax 401-270-0660
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