Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | CSW02580 | RI |
NPI | 1003400102 |
---|---|
Provider Name | Bianca Samantha Ogando |
First Address | Pawtucket, RI 02861-1235 |
Second Address | Providence, RI 02906-2532 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2021 |
Last Update Date | 12/08/2021 |