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1225064751
MICHAEL CANCILLIERE
PAWTUCKET, RI
NPI
1225064751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: RI MHC00253)
Enumeration Date
2006-06-25
Last Update Date
2007-11-26
Business Address
-- MICHAEL CANCILLIERE LMHC
1070 MAIN ST
PAWTUCKET, RI 02860-4847
Phone number: 401-727-6413
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Mailing Address
-- MICHAEL CANCILLIERE LMHC
528 N MAIN ST
PROVIDENCE, RI 02904-5757
Phone number:
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