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1306300512
ELISE N JARVIS
WAKEFIELD, RI
NPI
1306300512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: RI MHC01020)
Enumeration Date
2019-01-22
Last Update Date
2019-01-22
Business Address
ELISE N JARVIS
24 SALT POND RD STE H1
WAKEFIELD, RI 02879-4337
Phone number: 401-789-3694
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Mailing Address
ELISE N JARVIS
39 MERINO ST
JOHNSTON, RI 02919-4417
Phone number: 973-600-2769
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