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1114955200
LINDA TAVARES
PROVIDENCE, RI
NPI
1114955200
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Former Name
LINDA BISHOP
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: RI MHC00246)
Enumeration Date
2006-06-29
Last Update Date
2016-09-15
Business Address
-- LINDA TAVARES LMHC
520 HOPE ST
PROVIDENCE, RI 02906-2532
Phone number: 401-276-4155
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Mailing Address
-- LINDA TAVARES LMHC
528 N MAIN ST
PROVIDENCE, RI 02904-5757
Phone number:
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