M RAQUEL KENYON CSW

THE PROVIDENCE CENTER INC

Dr M RAQUEL KENYON CSW is a female medical professional, specializing in Clinical Social Worker. She graduated in 2001.

Contact

THE PROVIDENCE CENTER INC

530 N MAIN ST
PROVIDENCE
RI
029045762

Tel: 4012742500

M RAQUEL KENYON CSW Information

Npi 1609819457
Pac Id 9133018815
Professional Enrollment Id I20040311000813
Last Name KENYON
First Name M RAQUEL
Middle Name
Suffix
Gender F
Credential CSW
Medical School Name OTHER
Graduation Year 2001
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name THE PROVIDENCE CENTER INC
Group Practice Pac Id 9739080292
Number Of Group Practice Members 43
Line 1 Street Address 530 N MAIN ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PROVIDENCE
State RI
Zip Code 029045762
Phone Number 4012742500
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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