Individual
KATHLEEN GARLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
4705 OLD POST RD, CHARLESTOWN, RI 02813-1819
(401) 364-7705
(401) 783-2558
Mailing address
1157 SOUTH RD, WAKEFIELD, RI 02879-7633
(401) 789-1367
(401) 783-2558
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00708
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1020890
NHP
RI
Enumeration date
08/06/2008
Last updated
10/26/2017
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