Shalissa Rose Coutoulakis, LCSW
NPI #1164058202 in Pawtucket, Rhode Island
Provider Information
- NPI Number
- 1164058202
- Entity Type
- Individual
- Name
- Shalissa Rose Coutoulakis, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Mar 20, 2020
- Last Updated
- Mar 20, 2020
Practice Location
- Address
- 304 BEVERAGE HILL AVE
- City
- Pawtucket
- State
- Rhode Island
- ZIP Code
- 02861-4462
- Phone
- (401) 484-3012
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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