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1053717132
NICOLE JOHNSON
CRANSTON, RI
NPI
1053717132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
101Y00000X Counselor
Enumeration Date
2014-11-17
Last Update Date
2017-12-13
Business Address
NICOLE JOHNSON
1471 ELMWOOD AVE
CRANSTON, RI 02910-3849
Phone number: 401-724-8400
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Mailing Address
NICOLE JOHNSON
520 HOPE ST
PROVIDENCE, RI 02906-2532
Phone number: 401-276-4531
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