Most Relevant Information
Provider Data
| NPI Number: | 1003655838 |
| Provider Name: | GWYNNE LEAVITT MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/21/2024 |
| Last Updated: | 05/21/2024 |
Provider Practice Location
1 RICHMOND SQ STE 103K
PROVIDENCE
RI
029065166
Practice Location Phone/Fax
| Phone: | 4017281800 |
| Fax: |
Provider Mailing Location
8 E TRANSIT ST APT 3
PROVIDENCE
RI
029063088
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |