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1235668807
DAVID ROBERT GENDREAU
PROVIDENCE, RI
NPI
1235668807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI CDP00668)
Enumeration Date
2017-06-07
Last Update Date
2022-07-21
Business Address
DAVID ROBERT GENDREAU BA, CADC, LCDP, CSEP
530 N MAIN ST
PROVIDENCE, RI 02904-5762
Phone number: 401-276-6114
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Mailing Address
DAVID ROBERT GENDREAU BA, CADC, LCDP, CSEP
530 N MAIN ST
PROVIDENCE, RI 02904-5762
Phone number: 401-276-6114
Copy
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