| Gail R Tonnessen Msw Inc | |
|
331 Broadway Providence RI 02909-1101 | |
| (401) 455-0799 | |
| (401) 454-2773 |
| Full Name | Gail R Tonnessen Msw Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 331 Broadway, Providence, Rhode Island |
| Authorized Official Name and Position | Gail Ruth Tonnessen (PRESIDENT) |
| Authorized Official Contact | 4014550799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gail R Tonnessen Msw Inc 331 Broadway Providence RI 02909-1101 Ph: (401) 455-0799 | Gail R Tonnessen Msw Inc 331 Broadway Providence RI 02909-1101 Ph: (401) 455-0799 |
| NPI Number | 1801162300 |
|---|---|
| Provider Enumeration Date | 03/29/2012 |
| Last Update Date | 03/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801162300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ISW00626 (Rhode Island) | Primary |
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