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1023421534
ALICIA RAE TAVARES
PROVIDENCE, RI
NPI
1023421534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: RI MHC00856)
Enumeration Date
2014-06-03
Last Update Date
2024-08-30
Business Address
Mrs. ALICIA RAE TAVARES LMHC
1093 ELMWOOD AVE APT 2
PROVIDENCE, RI 02907-3669
Phone number: 401-787-1265
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Mailing Address
Mrs. ALICIA RAE TAVARES LMHC
1093 ELMWOOD AVE APT 2
PROVIDENCE, RI 02907-3669
Phone number: 401-787-1265
Copy
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