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1497144752
ILEANA SANTIAGO
CRANSTON, RI
NPI
1497144752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI CDP00575)
Enumeration Date
2015-01-09
Last Update Date
2015-01-09
Business Address
-- ILEANA SANTIAGO
1052 PARK AVE
CRANSTON, RI 02910-3225
Phone number: 401-461-5056
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Mailing Address
-- ILEANA SANTIAGO
1052 PARK AVE
CRANSTON, RI 02910-3225
Phone number: 401-461-5056
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