Individual
CLAUDE MICHELLE AUBOURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, R-DMT
Contact information
Practice address
520 HOPE ST, PROVIDENCE, RI 02906-2532
(401) 276-4351
Mailing address
520 HOPE ST, PROVIDENCE, RI 02906-2532
(401) 276-4531
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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