Most Relevant Information
Provider Data
NPI Number: | 1003569443 |
Provider Name: | KATHLEEN BLAIS LICSW |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | ISW03404 |
Most Important Dates
Enumeration Date: | 01/26/2022 |
Last Updated: | 01/26/2022 |
Provider Practice Location
300 TOLL GATE RD STE 300
WARWICK
RI
028864416
Practice Location Phone/Fax
Phone: | 4014670333 |
Fax: |
Provider Mailing Location
11 CHEDELL AVE
EAST PROVIDENCE
RI
029141804
Provider Mailing Phone/Fax
Phone: | 5084636092 |
Fax: |