Most Relevant Information
Provider Data
| NPI Number: | 1003292921 |
| Provider Name: | WENDY MUMFORD LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | ISW02561 |
Most Important Dates
| Enumeration Date: | 08/03/2015 |
| Last Updated: | 08/03/2015 |
Provider Practice Location
189 PUTNAM PIKE
FOSTER
RI
02825
Practice Location Phone/Fax
| Phone: | 5083301545 |
| Fax: |
Provider Mailing Location
846 HARRIS AVE
WOONSOCKET
RI
028951827
Provider Mailing Phone/Fax
| Phone: | 5083301545 |
| Fax: |