Jillian St.laurent, AS

NPI #1164800421 in Tiverton, Rhode Island

Provider Information

NPI Number: 1164800421
Entity Type: Individual
Name: Jillian St.laurent, AS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: AS
Enumeration Date: May 7, 2015
Last Updated: May 7, 2015

Practice Location

Address: 63 MARK DRIVE
City: Tiverton
State: Rhode Island
ZIP Code: 02878
Phone: (401) 266-8299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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