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1164058202
SHALISSA ROSE COUTOULAKIS
PAWTUCKET, RI
NPI
1164058202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI CSW02399)
Enumeration Date
2020-03-20
Last Update Date
2020-03-20
Business Address
SHALISSA ROSE COUTOULAKIS LCSW
304 BEVERAGE HILL AVE
PAWTUCKET, RI 02861-4462
Phone number: 401-484-3012
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Mailing Address
SHALISSA ROSE COUTOULAKIS LCSW
304 BEVERAGE HILL AVE
PAWTUCKET, RI 02861-4462
Phone number:
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