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1477100808
RAISA EMILIA GARCIA-DIAZ
PROVIDENCE, RI
NPI
1477100808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-08-21
Last Update Date
2023-11-27
Business Address
RAISA EMILIA GARCIA-DIAZ
66 PAVILION AVENUE
PROVIDENCE, RI 02905
Phone number: 401-461-9110
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Mailing Address
RAISA EMILIA GARCIA-DIAZ
66 PAVILION AVE
PROVIDENCE, RI 02905-1522
Phone number: 401-461-9110
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