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Organization

SANDRA E. DUCLOS, PH.D., INC.

Active
Other names
Sandra E. Duclos, Ph.D.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANDRA E. DUCLOS PH.D. (PRESIDENT)
(401) 334-9104
Entity
Organization

Contact information

Practice address
6 BLACKSTONE VALLEY PL, SUITE 109, LINCOLN, RI 02865-1179
(401) 334-9104
(401) 334-9105
Mailing address
6 BLACKSTONE VALLEY PL, SUITE 109, LINCOLN, RI 02865-1179
(401) 334-9104
(401) 334-9105

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS00498
RI

Other

Enumeration date
07/09/2006
Last updated
10/15/2007
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