Individual
BAILEY MOULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 DORRANCE ST STE 700, PROVIDENCE, RI 02903-2014
(888) 500-2067
(617) 649-8520
Mailing address
700 MASSACHUSETTS AVE FL 3, CAMBRIDGE, MA 02139-3345
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW02628
RI
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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