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1508446584
TIMOTHY J MATTESON
PROVIDENCE, RI
NPI
1508446584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI CSW02182)
Enumeration Date
2021-04-13
Last Update Date
2021-04-13
Business Address
TIMOTHY J MATTESON
55 HOPE ST
PROVIDENCE, RI 02906-2001
Phone number: 401-331-1350
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Mailing Address
TIMOTHY J MATTESON
55 HOPE ST
PROVIDENCE, RI 02906-2001
Phone number: 401-331-1350
Copy
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