SHALISSA ROSE COUTOULAKIS

PAWTUCKET, RI
NPI1164058202
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: RI  CSW02399)
Enumeration Date2020-03-20
Last Update Date2020-03-20
Business Address
SHALISSA ROSE COUTOULAKIS LCSW
304 BEVERAGE HILL AVE
PAWTUCKET, RI 02861-4462
Phone number: 401-484-3012
Mailing Address
SHALISSA ROSE COUTOULAKIS LCSW
304 BEVERAGE HILL AVE
PAWTUCKET, RI 02861-4462
Phone number: