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1417170010
CAROL LANDAU
PROVIDENCE, RI
NPI
1417170010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: RI PSY00172)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
Dr. CAROL LANDAU Ph.D.
130 SLATER AVE
PROVIDENCE, RI 02906-5624
Phone number: 401-273-2828
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Mailing Address
Dr. CAROL LANDAU Ph.D.
130 SLATER AVE
PROVIDENCE, RI 02906-5624
Phone number: 401-273-2828
Copy
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