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1134780067
JAMIE LYNN SOUZA
CRANSTON, RI
NPI
1134780067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI CDP00798)
Enumeration Date
2019-06-21
Last Update Date
2019-06-21
Business Address
JAMIE LYNN SOUZA LCDP
1257 CRANSTON ST
CRANSTON, RI 02920-7315
Phone number: 401-943-5817
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Mailing Address
JAMIE LYNN SOUZA LCDP
1257 CRANSTON ST
CRANSTON, RI 02920-7315
Phone number: 401-943-5817
Copy
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