KRISTINE DOMINIQUE

CHARLESTOWN, RI
NPI1386706521
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: RI  ISW01753)
Enumeration Date2006-12-14
Last Update Date2007-07-08
Business Address
-- KRISTINE DOMINIQUE LICSW
4705 OLD POST RD
CHARLESTOWN, RI 02813-1819
Phone number: 401-364-7705
Mailing Address
-- KRISTINE DOMINIQUE LICSW
PO BOX 899
CHARLESTOWN, RI 02813-0899
Phone number: 401-364-7705