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1013360452
JENNIFER ORTIZ
PROVIDENCE, RI
NPI
1013360452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-07-21
Last Update Date
2016-07-21
Business Address
-- JENNIFER ORTIZ
66 PAVILION AVE
PROVIDENCE, RI 02905-1522
Phone number: 401-461-9110
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Mailing Address
-- JENNIFER ORTIZ
66 PAVILION AVE
PROVIDENCE, RI 02905-1522
Phone number: 401-461-9110
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