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Individual

MS. MAEVE L VAILLANCOURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
71 GRACE ST, CRANSTON, RI 02910-2034
(401) 871-7846
Mailing address
9 GUNNING CT, MIDDLETOWN, RI 02842-5814
(401) 835-5238

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/18/2011
Last updated
02/14/2012
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