Individual
MS. SALLIE D'AGOSTINO PISATURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSP, LCMHC
Contact information
Practice address
60 PARK FOREST RD, CRANSTON, RI 02920-3607
(401) 943-0757
(401) 943-3199
Mailing address
60 PARK FOREST RD, CRANSTON, RI 02920-3607
(401) 943-0757
(401) 943-3199
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
M0357
RI
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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