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1114135357
DAVID JAMES STANFORD
PROVIDENCE, RI
NPI
1114135357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI ISW01795)
Enumeration Date
2007-05-20
Last Update Date
2007-07-08
Business Address
Mr. DAVID JAMES STANFORD MSW, LICSW, LCDP II
72 3RD ST
PROVIDENCE, RI 02906-2729
Phone number: 401-276-2723
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Mailing Address
Mr. DAVID JAMES STANFORD MSW, LICSW, LCDP II
21 WHITMAN ST
PAWTUCKET, RI 02860-4901
Phone number: 401-723-4397
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