Individual
KATHLEEN CLOUTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 ELMWOOD AVE, PROVIDENCE, RI 02907-1435
(401) 784-8602
Mailing address
645 ELMWOOD AVE, PROVIDENCE, RI 02907-3313
(401) 784-8675
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022153084
DUNS
—
Enumeration date
10/26/2020
Last updated
10/26/2020
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