Individual
MOSES CALOURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDP
Contact information
Practice address
101 BACON ST, PAWTUCKET, RI 02860-5542
(401) 722-3560
(401) 724-3120
Mailing address
101 BACON ST, PAWTUCKET, RI 02860-5542
(401) 722-3560
(401) 724-3120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDP00083
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MC54798
—
RI
Enumeration date
10/23/2006
Last updated
07/08/2007
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