Individual
KATHLEEN BLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
300 TOLL GATE RD STE 300, WARWICK, RI 02886-4416
(401) 467-0333
Mailing address
11 CHEDELL AVE, EAST PROVIDENCE, RI 02914-1804
(508) 463-6092
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW03404
RI
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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