Krystal Alves Amoroso, LICSW
Social Worker, Clinical in East Providence, RI. Individual provider (NPI-1).
NPI number1376779751
StatusActive
Last updated in NPPESDec 27, 2011
Details
- NPI
- 1376779751
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Krystal Alves Amoroso
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 30, 2009
- Last updated
- Dec 27, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | ISW02087 | RI | Yes |
Other names
- Krystal Bettencourt Alves (Former Name)
Practice location
410 N BroadwayEast Providence, RI 02914-2025
Phone 401-434-4920 · Fax 401-434-4920
Mailing address
46 N Hull StApt 1
East Providence, RI 02914-2631
Phone 401-573-7551
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