Individual
MS. KIMERLY A. BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
311 DORIC AVE, CRANSTON, RI 02910-2903
(401) 467-9610
(401) 467-9030
Mailing address
311 DORIC AVE, CRANSTON, RI 02910-2903
(401) 467-9610
(401) 467-9030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00071
RI
Other
Enumeration date
07/16/2006
Last updated
07/08/2007
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