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Individual

MARY JOANNE CHRETIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
2 TRAY HOLLOW RD, FOSTER, RI 02825-1281
(401) 524-0919
Mailing address
2 TRAY HOLLOW RD, FOSTER, RI 02825-1281
(401) 524-0919

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
002228
CT
235Z00000X
Speech-Language Pathologist
Primary
SP00515
RI

Other

Enumeration date
08/31/2012
Last updated
08/31/2012
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