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LEON O. BACK IV LICSW
LICSW
Clinical Social Worker
NPI: 1720558745IndividualAccepts Medicare
Specialties, Licenses & Credentials
Clinical Social WorkerPrimary
Social Worker — Clinical
Code: 1041C0700X
ISW03876(RI)
Education
OTHER
Class of 2020
Contact & Hours
- Address
- 78 BAKER ST
PROVIDENCE, RI 02905 - Phone
- (401) 781-2400
Quick Facts
- NPI
- 1720558745
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 6
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