NPI | 1164094017 |
---|---|
Doing Business As | SARAH E. OUELLETTE, LICSW |
Entity Type | Organization |
Authorized Contact | SARAH ELIZABETH OUELLETTE Provider 401-368-7809 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2021-07-12 |
Last Update Date | 2021-07-12 |