Individual
MRS. CHANTAL AIMEE SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1240 PAWTUCKET AVE, RUMFORD, RI 02916-1427
(401) 491-4938
Mailing address
165 BOURNE AVE, RUMFORD, RI 02916-3322
(401) 523-0344
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW03426
RI
Other
Enumeration date
12/18/2021
Last updated
12/18/2021
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