Individual
MRS. CLAUDETTE MAY WALLACE-BOAHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1643 WARWICK AVE, WARWICK, RI 02889-1525
(401) 266-6833
Mailing address
1643 WARWICK AVE, WARWICK, RI 02889-1525
(401) 288-6833
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/05/2011
Last updated
10/15/2024
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