Individual
SUZANNE O'SHEA BORDELEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CGS, MFT, LMHC
Contact information
Practice address
100 MIDWAY RD, CRANSTON, RI 02920-5742
(401) 405-1239
Mailing address
PO BOX 20106, CRANSTON, RI 02920-0927
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MHC01400
RI
Other
Enumeration date
08/19/2022
Last updated
10/12/2022
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