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1144971342
AUTHENTIC CHANGE PSYCHOTHERAPY, INC.
PROVIDENCE, RI
NPI
1144971342
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Entity Type
Organization
Authorized Contact
BROOKE HUMINSKI
Owner
401-489-6885
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-01-10
Last Update Date
2022-01-23
Business Address
AUTHENTIC CHANGE PSYCHOTHERAPY, INC.
154 WATERMAN ST. SUITE 15, 3RD FLOOR
PROVIDENCE, RI 02906
Phone number: 401-489-6885
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Mailing Address
AUTHENTIC CHANGE PSYCHOTHERAPY, INC.
133 GLENWOOD AVE
PAWTUCKET, RI 02860-5905
Phone number: 401-489-6885
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