SHALISSA COUTOULAKIS, LCSW

Social Worker - Clinical

Active Individual
NPI: 1164058202

Practice Address

304 BEVERAGE HILL AVE
Pawtucket, RI 02861

Phone: (401) 484-3012

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes CSW02399 (RI)

Frequently Asked Questions

NPI 1164058202 is the National Provider Identifier for SHALISSA COUTOULAKIS, LCSW, a Social Worker - Clinical provider located in Pawtucket, RI. This NPI was enumerated on March 20, 2020.
SHALISSA COUTOULAKIS, LCSW practices at 304 BEVERAGE HILL AVE, Pawtucket, RI 02861.

Quick Facts

NPI
1164058202
Type
Individual
Enumerated
Mar 20, 2020
Last Updated
Mar 20, 2020

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