Individual
CAROLYN MICHENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
626 PARK AVE, CRANSTON, RI 02910-2154
(401) 270-9991
Mailing address
25 COBBLESTONE HILL RD, EXETER, RI 02822-2443
(203) 558-4966
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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