SHANE LIMA

PROVIDENCE, RI
NPI1013364843
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-05-23
Last Update Date2016-05-23
Business Address
-- SHANE LIMA
66 PAVILION AVE
PROVIDENCE, RI 02905-1522
Phone number: 401-461-9110
Mailing Address
-- SHANE LIMA
66 PAVILION AVE
PROVIDENCE, RI 02905-1522
Phone number: 401-461-9110
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