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1104253566
JARED DEVIN MINKEL
PROVIDENCE, RI
NPI
1104253566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: RI PS01472)
Enumeration Date
2013-10-01
Last Update Date
2015-09-30
Business Address
-- JARED DEVIN MINKEL PhD
146 W RIVER ST
PROVIDENCE, RI 02904-2609
Phone number: 401-444-7442
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Mailing Address
-- JARED DEVIN MINKEL PhD
117 ELLENFIELD ST 101
PROVIDENCE, RI 02905-4513
Phone number: 401-444-4318
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