Individual
GINA A. PAKURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
345 BLACKSTONE BLVD, ANNEX BLDG - ROOM 232, PROVIDENCE, RI 02906-4800
(800) 370-3651
(860) 510-0020
Mailing address
20 RESEARCH PKWY, OLD SAYBROOK, CT 06475-4214
(800) 370-3651
(860) 510-0020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02168
RI
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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