Individual
KELLY EASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
62 CARRIAGE DR, LINCOLN, RI 02865-3428
(401) 226-4948
Mailing address
62 CARRIAGE DR, LINCOLN, RI 02865-3428
(401) 226-4948
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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