Doctor Name: | WENDY MUMFORD |
NPI Number: | 1003292921 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 118900 |
Business Practice Address: | 189 Putnam Pike Foster, RI - 02825 |
Business Phone Number: | 5083301545 |
Business Fax Number: | |
Mailing Address: | 846 Harris Ave, WOONSOCKET |
State: | RI |
Postal Code: | 028951827 |
Phone Number: | 5083301545 |
Fax Number: | |
NPI Enumeration Date: | 08/03/2015 |
NPI Last Update Date: | 08/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 118900 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |