Individual
MS. GIANNA M. BOULET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
624 MAIN ST, WARREN, RI 02885-4387
(401) 247-2070
Mailing address
97 WESTERN PROMENADE, CRANSTON, RI 02905-1216
(401) 439-1752
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
213811
MA
1041C0700X
Clinical Social Worker
CSW01042
RI
1041C0700X
Clinical Social Worker
Primary
ISW01960
RI
Other
Enumeration date
12/27/2006
Last updated
12/06/2009
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