NPI | 1073855631 |
---|---|
Doing Business As | GRACIOUS AUDETTE |
Entity Type | Organization |
Authorized Contact | GRACIOUS ANN AUDETTE Sole Proprietor 401-841-9198 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02178) |
Enumeration Date | 2013-03-21 |
Last Update Date | 2013-03-21 |