Individual
MARLA K PASQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 WATERMAN AVE, EAST PROVIDENCE, RI 02914-1729
(401) 434-0459
Mailing address
51 ROMA ST, EAST PROVIDENCE, RI 02914-2516
(401) 749-2528
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00618
RI
Other
Enumeration date
12/06/2018
Last updated
12/18/2018
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