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Individual

ENILDA CORTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
55 CUMMINGS WAY, WOONSOCKET, RI 02895-3247
(401) 235-7000
Mailing address
PO BOX 1700, WOONSOCKET, RI 02895-0856
(401) 235-7000

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
MHC00604
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1104847946
THE PROVIDENCE CENTER NPI
RI
01
1588851869
UBH
RI
Enumeration date
10/01/2007
Last updated
03/24/2014
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