Individual
MS. GRACIOUS ANN AUDETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
7 RHODE ISLAND AVE, NEWPORT, RI 02840-2606
(401) 846-1213
Mailing address
7 RHODE ISLAND AVE, NEWPORT, RI 02840-2606
(401) 846-1213
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW01202
RI
Other
Enumeration date
06/17/2009
Last updated
04/04/2016
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