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1528370145
LISA ANN CICCONE
PROVIDENCE, RI
NPI
1528370145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-07-12
Last Update Date
2010-07-12
Business Address
-- LISA ANN CICCONE BSW, BS, BA
66 PAVILION AVE
PROVIDENCE, RI 02905-1522
Phone number: 401-461-9110
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Mailing Address
-- LISA ANN CICCONE BSW, BS, BA
66 PAVILION AVE
PROVIDENCE, RI 02905-1522
Phone number: 401-461-9110
Copy
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