Individual
JACQUELINE H. KOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
68 CUMBERLAND ST, SUITE 102, WOONSOCKET, RI 02895-3323
(401) 356-1940
(401) 356-1949
Mailing address
68 CUMBERLAND ST, SUITE 102, WOONSOCKET, RI 02895-3323
(401) 356-1940
(401) 356-1949
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW00722
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
413124
BLUE CHIP
RI
01
—
6242422
UNITED HEALTH CARE
RI
05
—
7005326
—
RI
01
—
93990
BLUE CROSS BLUE SHIELD
RI
Enumeration date
10/05/2006
Last updated
01/10/2008
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