| 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 |