Individual
MS. GAIL R CREQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
830 CHALKSTONE AVENUE, VA MEDICAL CENTER, PROVIDENCE, RI 02908
(401) 273-7100
(401) 457-3371
Mailing address
107 ARTHURS WAY, PASCOAG, RI 02859-3509
(401) 273-7100
(401) 457-3371
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW00536
RI
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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