Individual
MICHELE RAINVILLE PELLETIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1443 HARTFORD AVE, JOHNSTON, RI 02919-3224
(401) 273-8100
(401) 861-8696
Mailing address
249 ROOSEVELT AVE, PAWTUCKET, RI 02860-2134
(401) 667-6795
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MHC01016
RI
Other
Enumeration date
02/08/2017
Last updated
04/23/2019
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