Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1041C0700X | Clinical Social Worker | 114016 | MA |
Y | 1041C0700X | Clinical Social Worker | ISW01881 | RI |
NPI | 1003097346 |
---|---|
Provider Name | Margarita Caballero-Snyder |
First Address | Johnston, RI 02919-1637 |
Second Address | Providence, RI 02906-2001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2007 |
Last Update Date | 15/11/2007 |