DAVID JON MEDEIROS

PROVIDENCE, RI
NPI1336204072
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: RI  ISW01114)
Enumeration Date2006-12-22
Last Update Date2007-07-08
Business Address
Mr. DAVID JON MEDEIROS LICSW
173 WATERMAN ST
PROVIDENCE, RI 02906-3919
Phone number: 401-743-1214
Mailing Address
Mr. DAVID JON MEDEIROS LICSW
173 WATERMAN ST
PROVIDENCE, RI 02906-3919
Phone number: 401-743-1214
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