Samuel Wallace Peloquin, LICSW
NPI #1154069045 in Cranston, Rhode Island
Provider Information
- NPI Number
- 1154069045
- Entity Type
- Individual
- Name
- Samuel Wallace Peloquin, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- May 22, 2022
- Last Updated
- May 31, 2022
Practice Location
- Address
- 825 PONTIAC AVE APT 15303
- City
- Cranston
- State
- Rhode Island
- ZIP Code
- 02910-5944
- Phone
- (401) 499-1043
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
| Social Worker - Clinical — Clinical |
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