Individual
ROSE A GOULET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
610 WAMPANOAG TRL, EAST PROVIDENCE, RI 02915-1504
(401) 431-9870
Mailing address
1 CURT ST, SEEKONK, MA 02771-5007
(401) 431-9870
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01046
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30018-4
BLUE CROSS
RI
01
—
407468
BLUE CHIP
RI
01
—
62-42870
UBH
RI
05
—
RG15257
—
RI
Enumeration date
12/07/2005
Last updated
10/10/2007
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