Individual
GRETCHEN BLYCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
765 ALLENS AVE, SUITE 102, PROVIDENCE, RI 02905-5443
(401) 490-8900
Mailing address
1 CAPSTAN ST, JAMESTOWN, RI 02835-2241
(401) 486-7183
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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