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1538249552
LORA SPALT
PROVIDENCE, RI
NPI
1538249552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI LCDS00047)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
-- LORA SPALT LCDS
208 GOVERNOR ST
PROVIDENCE, RI 02906-3246
Phone number: 401-490-3563
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Mailing Address
-- LORA SPALT LCDS
208 GOVERNOR ST
PROVIDENCE, RI 02906-3246
Phone number: 401-490-3563
Copy
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