FALLON ELLEN PERREAULT

PROVIDENCE, RI
NPI1316506157
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-06-06
Last Update Date2019-06-06
Business Address
FALLON ELLEN PERREAULT BS, BA, LCDP
528 N MAIN ST
PROVIDENCE, RI 02904-5757
Phone number: 401-462-2985
Mailing Address
FALLON ELLEN PERREAULT BS, BA, LCDP
40 ARLEE ST
WARWICK, RI 02889-3904
Phone number:
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