Individual
GRACE MCCLENTIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
245 WATERMAN ST STE 504A, PROVIDENCE, RI 02906-5215
(339) 987-2195
Mailing address
815 SANDY LN APT 97, WARWICK, RI 02889-8051
(339) 987-2195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC01146
RI
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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