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1407844723
MARY C MOORE
PROVIDENCE, RI
NPI
1407844723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: RI PS00371)
Enumeration Date
2005-10-11
Last Update Date
2008-11-03
Business Address
Dr. MARY C MOORE Ph.D.
203 S MAIN ST
PROVIDENCE, RI 02903-2992
Phone number: 401-273-4942
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Mailing Address
Dr. MARY C MOORE Ph.D.
203 S MAIN ST
PROVIDENCE, RI 02903-2992
Phone number: 401-273-4942
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