ARDELL BRACKLEY

PROVIDENCE, RI
NPI1184860637
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: RI  ISW01612)
Enumeration Date2009-01-05
Last Update Date2009-01-05
Business Address
-- ARDELL BRACKLEY LICSW
153 SUMMER ST
PROVIDENCE, RI 02903-4011
Phone number: 401-276-4333
Mailing Address
-- ARDELL BRACKLEY LICSW
153 SUMMER ST
PROVIDENCE, RI 02903-4011
Phone number: 401-276-4333
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