Ms. WENDELA REGINA JISKOOT -- MSW LICSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1346278421- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MSW LICSW
- Status
- Active
Contact & Location
- Address
- 57 FRANKLIN ST, BRISTOL, RI, 02809
- Phone
- (401) 253-3130
Specialties & Taxonomies
Social Worker, Clinical
Primary License: RI #ISW00079
Social Worker, Clinical
License: MA #107136