KIM MARIE GONZAGA

CHARLESTOWN, RI
NPI1215738265
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI  CDP01032)
Enumeration Date2025-03-24
Last Update Date2025-05-16
Business Address
KIM MARIE GONZAGA LCDP
4705 OLD POST RD
CHARLESTOWN, RI 02813-1841
Phone number: 401-364-7705
Mailing Address
KIM MARIE GONZAGA LCDP
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 02905-4541
Phone number:
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