Most Relevant Information
Provider Data
  | NPI Number: | 1003354234 | 
| Provider Name: | CHRISTINA STANG LICSW | 
| Entity Type: | Individual | 
| Taxonomy Code: | 1041C0700X | 
| Specialty: | Social Worker | 
| License Number: | 097343 | 
Most Important Dates
  | Enumeration Date: | 02/08/2017 | 
| Last Updated: | 05/24/2023 | 
Provider Practice Location
  25 HOLLYWOOD RD
      
      PROVIDENCE
      RI
      029091218
  Practice Location Phone/Fax
      | Phone: | 8609663171 | 
| Fax: | 
Provider Mailing Location
  25 HOLLYWOOD RD
      
      PROVIDENCE
      RI
      029091218
  Provider Mailing Phone/Fax
      | Phone: | 8609663171 | 
| Fax: |