Individual
MISS MONIQUE ANASTASIA TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
90 JEFFERSON BLVD, WARWICK, RI 02888-1060
(401) 830-0049
Mailing address
77 KNIGHT STREET, APT 3 REAR, PROVIDENCE, RI 02909-1549
(401) 808-4872
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW03100
RI
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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