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1366150385
GISSELLE ALEJANDRA BAEZA
RIVERSIDE, RI
NPI
1366150385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: RI CSW03011)
Enumeration Date
2022-11-08
Last Update Date
2022-11-08
Business Address
GISSELLE ALEJANDRA BAEZA LCSW
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915-5099
Phone number: 401-432-1345
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Mailing Address
GISSELLE ALEJANDRA BAEZA LCSW
47 CONCANNON ST APT 2
PROVIDENCE, RI 02904-2127
Phone number: 401-432-8852
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