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1104838978
LORETTE DUSSAULT
EAST PROVIDENCE, RI
NPI
1104838978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: RI ISW00062)
Enumeration Date
2006-08-12
Last Update Date
2009-03-27
Business Address
LORETTE DUSSAULT LICSW
55 S BROW ST
EAST PROVIDENCE, RI 02914-4433
Phone number: 401-434-4748
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Mailing Address
LORETTE DUSSAULT LICSW
528 N MAIN ST
PROVIDENCE, RI 02904-5757
Phone number:
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