SAMUEL WALLACE PELOQUIN

CRANSTON, RI
NPI1154069045
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: RI  ISW023231)
Additional Taxonomies104100000X Social Worker
(Licence: RI  ISW03231)
Enumeration Date2022-05-22
Last Update Date2022-05-31
Business Address
SAMUEL WALLACE PELOQUIN LICSW
825 PONTIAC AVE APT 15303
CRANSTON, RI 02910-5944
Phone number: 401-499-1043
Mailing Address
SAMUEL WALLACE PELOQUIN LICSW
825 PONTIAC AVE APT 15303
CRANSTON, RI 02910-5944
Phone number: 401-499-1043