Individual
SELINA GRACE LEBOEUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
520 HOPE ST, PROVIDENCE, RI 02906-2599
(401) 276-4020
Mailing address
520 HOPE ST, PROVIDENCE, RI 02906-2599
(401) 276-4020
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
CSW02911
RI
Other
Enumeration date
07/05/2022
Last updated
07/28/2025
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