LISA ANN CICCONE

PROVIDENCE, RI
NPI1528370145
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-07-12
Last Update Date2010-07-12
Business Address
-- LISA ANN CICCONE BSW, BS, BA
66 PAVILION AVE
PROVIDENCE, RI 02905-1522
Phone number: 401-461-9110
Mailing Address
-- LISA ANN CICCONE BSW, BS, BA
66 PAVILION AVE
PROVIDENCE, RI 02905-1522
Phone number: 401-461-9110
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