Most Relevant Information
Provider Data
| NPI Number: | 1003061144 |
| Provider Name: | KELLY BARAF LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | ISW01936 |
Most Important Dates
| Enumeration Date: | 11/17/2008 |
| Last Updated: | 09/03/2013 |
Provider Practice Location
49 PAVILION AVE
SUITE 105
PROVIDENCE
RI
029051534
Practice Location Phone/Fax
| Phone: | 4014908900 |
| Fax: | 4014902619 |
Provider Mailing Location
4 LAFAYETTE ST
PAWTUCKET
RI
028606122
Provider Mailing Phone/Fax
| Phone: | 4015365339 |
| Fax: |