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1386706521
KRISTINE DOMINIQUE
CHARLESTOWN, RI
NPI
1386706521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: RI ISW01753)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
KRISTINE DOMINIQUE LICSW
4705 OLD POST RD
CHARLESTOWN, RI 02813-1819
Phone number: 401-364-7705
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Mailing Address
KRISTINE DOMINIQUE LICSW
PO BOX 899
CHARLESTOWN, RI 02813-0899
Phone number: 401-364-7705
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