MR. Theodore William Blickwedel, MSW, LICSW is a mental health counselor in Johnston, RI. MR. Theodore William Blickwedel, MSW, LICSW NPI is 1669957932. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1395 ATWOOD AVE STE 201
JOHNSTON, RI
ZIP 02919-931
Phone: (401) 383-7633
Fax: (877) 266-4503
The enumeration date for this NPI number is 10/2/2018 and was last updated on 10/2/2018.