JOHANNY MATOS CIPRIAN

PROVIDENCE, RI
NPI1548098882
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI  CDP00996)
Enumeration Date2024-07-25
Last Update Date2024-07-25
Business Address
JOHANNY MATOS CIPRIAN
111 WAYLAND AVE
PROVIDENCE, RI 02906-4371
Phone number: 401-396-7649
Mailing Address
JOHANNY MATOS CIPRIAN
111 WAYLAND AVE
PROVIDENCE, RI 02906-4371
Phone number:
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