ELLEN FITZGERALD-MCCALLUM, LICSW
Social Worker - Clinical
Active
Individual
NPI: 1104149616
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | ISW02290 (RI) |
Frequently Asked Questions
NPI 1104149616 is the National Provider Identifier for ELLEN FITZGERALD-MCCALLUM, LICSW, a Social Worker - Clinical provider located in Johnston, RI. This NPI was enumerated on March 11, 2010.
ELLEN FITZGERALD-MCCALLUM, LICSW practices at 1443 HARTFORD AVE, Johnston, RI 02919.
Quick Facts
- NPI
- 1104149616
- Type
- Individual
- Enumerated
- Mar 11, 2010
- Last Updated
- Feb 19, 2013
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