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1326169053
TRACY O'LEARY TEVYAW
PROVIDENCE, RI
NPI
1326169053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: RI PS00755)
Enumeration Date
2007-04-02
Last Update Date
2012-02-21
Business Address
Dr. TRACY O'LEARY TEVYAW Ph.D.
830 CHALKSTONE AVE # 116B
PROVIDENCE, RI 02908-4799
Phone number: 401-273-7100
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Mailing Address
Dr. TRACY O'LEARY TEVYAW Ph.D.
830 CHALKSTONE AVE # 116B
PROVIDENCE, RI 02908-4799
Phone number: 401-273-7100
Copy
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