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1285752188
JON K BERENSON
PROVIDENCE, RI
NPI
1285752188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: RI R9198)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
Dr. JON K BERENSON PhD
226 WATERMAN ST
PROVIDENCE, RI 02906
Phone number: 401-272-7733
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Mailing Address
Dr. JON K BERENSON PhD
226 WATERMAN ST
PROVIDENCE, RI 02906
Phone number: 401-272-7733
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