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1255005914
GRACE MCCLENTIC
PROVIDENCE, RI
NPI
1255005914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: RI MHC01146)
Enumeration Date
2021-08-05
Last Update Date
2021-08-05
Business Address
GRACE MCCLENTIC
245 WATERMAN ST STE 504A
PROVIDENCE, RI 02906-5215
Phone number: 339-987-2195
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Mailing Address
GRACE MCCLENTIC
815 SANDY LN APT 97
WARWICK, RI 02889-8051
Phone number: 339-987-2195
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