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1063760049
TANYA LYN MEDEIROS
PROVIDENCE, RI
NPI
1063760049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI CSW01529)
Enumeration Date
2012-08-22
Last Update Date
2015-01-06
Business Address
Ms. TANYA LYN MEDEIROS
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
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Mailing Address
Ms. TANYA LYN MEDEIROS
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
Copy
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