Jaime Mendez LICSW

NPI 1356558688 - Social Worker - 1041C0700X

NPI Details
NPI 1356558688
Gender Male
Enumeration Date 05/17/2007
Last Updated 08/26/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
830 CHALKSTONE AVE
TRAILER 36
PROVIDENCE RI, 02908-4734, US
Phone (401) 640-3917
Fax (401) 525-2557
Business Location
830 CHALKSTONE AVE
MHICM TRAILER 36
PROVIDENCE RI, 02908-4734, US
Phone (401) 640-3917
Fax (401) 525-2557
Toxanomy
Taxonomy Code 1041C0700X
License State Rhode Island
License Number ISW02030
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According to our database, Mr. Jaime Mendez LICSW NPI is 1356558688, taxonomy code is 1041C0700X and license number is ISW02030, license state is located at Rhode Island. Jaime Mendez LICSW physically located at 830 Chalkstone Ave, Providence RI, 02908-4734. NPI Number Jaime Mendez LICSW has the Individual type.

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1356558688 NPI number is provided on an as is basis without warranty of any kind. 1356558688 is maintained by the National Plan & Provider Enumeration System. The contents of Jaime Mendez LICSW are for informational purposes only.