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1134645856
STEPHEN R RICCO
JOHNSTON, RI
NPI
1134645856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-08-15
Last Update Date
2017-08-15
Business Address
STEPHEN R RICCO
985 PLAINFIELD ST
JOHNSTON, RI 02919-6703
Phone number: 401-946-0650
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Mailing Address
STEPHEN R RICCO
48 PAOLINO ST APT 3
JOHNSTON, RI 02919-5401
Phone number: 401-359-9507
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