Individual
MELISSA A BIBEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
63 EDDIE DOWLING HWY STE 7, NORTH SMITHFIELD, RI 02896-7322
(401) 766-9400
Mailing address
367 SIMMONSVILLE AVE APT 3104, JOHNSTON, RI 02919-6077
(401) 258-3936
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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