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1215004445
JESSICA VICTORIA FORTUNATO
PROVIDENCE, RI
NPI
1215004445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: RI ps00986)
Enumeration Date
2006-11-30
Last Update Date
2007-07-08
Business Address
Dr. JESSICA VICTORIA FORTUNATO Psy.D.
154 WATERMAN ST
PROVIDENCE, RI 02906
Phone number: 401-273-3322
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Mailing Address
Dr. JESSICA VICTORIA FORTUNATO Psy.D.
154 WATERMAN ST
PROVIDENCE, RI 02906
Phone number: 401-273-3322
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