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1508129388
KEVIN I HATHAWAY
PROVIDENCE, RI
NPI
1508129388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: RI MHC00531)
Enumeration Date
2012-06-18
Last Update Date
2013-04-06
Business Address
-- KEVIN I HATHAWAY MHC
55 HOPE ST
PROVIDENCE, RI 02906-2001
Phone number: 401-331-1350
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Mailing Address
-- KEVIN I HATHAWAY MHC
PO BOX 6688
PROVIDENCE, RI 02940-6688
Phone number: 401-331-1350
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