Individual
TRACY LEVESQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 CUMMINGS WAY, WOONSOCKET, RI 02895-3247
(401) 235-7000
Mailing address
56 METACOMET AVE, SWANSEA, MA 02777-2510
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CERTIFICATE#482
RI
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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