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1104656677
KATHERINE JANE LICCIARDELLO
WARWICK, RI
NPI
1104656677
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2024-08-07
Last Update Date
2024-08-07
Business Address
KATHERINE JANE LICCIARDELLO
659 SANDY LN # 3
WARWICK, RI 02889-8241
Phone number: 401-441-8449
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Mailing Address
KATHERINE JANE LICCIARDELLO
113 PROSPECT HILL ST APT 3
NEWPORT, RI 02840-6108
Phone number: 401-338-7240
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