| The Willow Tree Ne, Llc | |
|
179 Highland Ave Seekonk MA 02771-5828 | |
| (401) 206-0076 | |
| Not Available |
| Full Name | The Willow Tree Ne, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 179 Highland Ave, Seekonk, Massachusetts |
| Authorized Official Name and Position | Kimberly Rodrigues (OWNER, PRACTICE MANAGER) |
| Authorized Official Contact | 4016997891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Willow Tree Ne, Llc 179 Highland Ave Seekonk MA 02771-5828 Ph: () - | The Willow Tree Ne, Llc 179 Highland Ave Seekonk MA 02771-5828 Ph: (401) 206-0076 |
| NPI Number | 1386462026 |
|---|---|
| Provider Enumeration Date | 10/01/2024 |
| Last Update Date | 10/01/2024 |
| Certification Date | 10/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386462026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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