Individual
JAMIE L GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1471 ELMWOOD AVE, CRANSTON, RI 02910-3849
(401) 490-7320
(401) 490-7694
Mailing address
1471 ELMWOOD AVE, CRANSTON, RI 02910-3849
(401) 490-7320
(401) 490-7694
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW01046
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
02/07/2008
Last updated
03/31/2009
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