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1558941963
CHARLES ALEXANDER BRAKE
PROVIDENCE, RI
NPI
1558941963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2021-04-09
Last Update Date
2021-04-09
Business Address
CHARLES ALEXANDER BRAKE Ph.D.
830 CHALKSTONE AVE BLDG 14
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
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Mailing Address
CHARLES ALEXANDER BRAKE Ph.D.
243 BROADWAY APT 3
PROVIDENCE, RI 02903-3068
Phone number:
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