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1528003811
JAMES GANNAWAY
PROVIDENCE, RI
NPI
1528003811
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI ISW00664)
Enumeration Date
2006-06-19
Last Update Date
2007-07-08
Business Address
-- JAMES GANNAWAY
520 HOPE ST
PROVIDENCE, RI 02906-2532
Phone number: 401-276-4000
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Mailing Address
-- JAMES GANNAWAY
951 N MAIN ST
PROVIDENCE, RI 02904-5759
Phone number:
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