Individual
MR. DAVID C MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
528 N MAIN ST, PROVIDENCE, RI 02904-5757
(401) 528-0110
(401) 528-0188
Mailing address
528 N MAIN ST, PROVIDENCE, RI 02904-5757
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
215001
MA
1041C0700X
Clinical Social Worker
Primary
ISW02275
RI
Other
Enumeration date
04/29/2010
Last updated
01/07/2013
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