Individual
BIANCA ANN DUTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 WHIRLAWAY PL, PAWTUCKET, RI 02861-4302
(401) 935-0892
Mailing address
21 WHIRLAWAY PL, PAWTUCKET, RI 02861-4302
(401) 935-0892
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW02772
RI
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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