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1467604967
JESSICA M MIKOLAZYK
WOONSOCKET, RI
NPI
1467604967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI LCDP00430)
Enumeration Date
2008-10-15
Last Update Date
2008-10-15
Business Address
-- JESSICA M MIKOLAZYK
55 CUMMINGS WAY
WOONSOCKET, RI 02895-3247
Phone number: 401-235-7000
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Mailing Address
-- JESSICA M MIKOLAZYK
PO BOX 1700
WOONSOCKET, RI 02895-0856
Phone number: 401-235-7000
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