Individual
STACY JILL TOABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
51 CRANDALL ST, PROVIDENCE, RI 02908-1330
(401) 286-8086
Mailing address
51 CRANDALL ST, PROVIDENCE, RI 02908-1330
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000114
RI
101YM0800X
Mental Health Counselor
4302
MA
Other
Enumeration date
03/07/2007
Last updated
06/03/2008
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