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1194505180
BRIAN SHAWN BEAUDRY
PROVIDENCE, RI
NPI
1194505180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI ISW01591)
Enumeration Date
2023-10-05
Last Update Date
2023-12-01
Business Address
Mr. BRIAN SHAWN BEAUDRY
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-3428
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Mailing Address
Mr. BRIAN SHAWN BEAUDRY
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 02905-4541
Phone number: 401-444-6779
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