Individual
MS. M GRACE DOLE DAYIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
959 N MAIN ST, PROVIDENCE, RI 02904-5715
(401) 331-1244
Mailing address
959 N MAIN ST, PROVIDENCE, RI 02904-5715
(401) 331-1244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ISW01574
RI
Other
Enumeration date
07/16/2012
Last updated
01/02/2013
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