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1104906395
SUSAN MARIE MONTELLA-JELLEY
LINCOLN, RI
NPI
1104906395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI ISW00726)
Enumeration Date
2006-10-16
Last Update Date
2009-09-18
Business Address
Mrs. SUSAN MARIE MONTELLA-JELLEY L.I.C.S.W.
101 HIGGINSON AVE STE 107D
LINCOLN, RI 02865-2734
Phone number: 508-369-8904
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Mailing Address
Mrs. SUSAN MARIE MONTELLA-JELLEY L.I.C.S.W.
101 HIGGINSON AVE STE 107D
LINCOLN, RI 02865-2734
Phone number: 508-369-8904
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