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: |