Individual
COLLEEN MADDEN WHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
188 VALLEY ST STE 201, PROVIDENCE, RI 02909-2468
(215) 285-0445
Mailing address
188 VALLEY ST STE 201, PROVIDENCE, RI 02909-2468
(215) 285-0445
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC006657
PA
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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