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1093121394
MICHAEL WALTHER
PROVIDENCE, RI
NPI
1093121394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: RI PS01443)
Enumeration Date
2014-07-08
Last Update Date
2014-07-08
Business Address
-- MICHAEL WALTHER
1 HOPPIN ST SUITE 204
PROVIDENCE, RI 02903-4141
Phone number: 401-444-8945
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Mailing Address
-- MICHAEL WALTHER
1 HOPPIN ST SUITE 204
PROVIDENCE, RI 02903-4141
Phone number: 401-444-8945
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