Individual
AUTUMN MARIE GAUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1443 HARTFORD AVENUE, JOHNSTON, RI 02919
(401) 273-8100
Mailing address
117 ELLENFIELD STREET, STE. 101, PROVIDENCE, RI 02905
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW03814
RI
Other
Enumeration date
05/21/2024
Last updated
03/27/2025
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