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1023476116
ERIC MACKSOUD
LINCOLN, RI
NPI
1023476116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-02-03
Last Update Date
2016-02-03
Business Address
-- ERIC MACKSOUD
1817 OLD LOUISQUISSET PIKE
LINCOLN, RI 02865
Phone number: 401-727-2443
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Mailing Address
-- ERIC MACKSOUD
1817 OLD LOUISQUISSET PIKE
LINCOLN, RI 02865-4516
Phone number: 401-727-2443
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