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1568153146
LUIS ANTHONY ESCOBAR
PROVIDENCE, RI
NPI
1568153146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI CDP00938)
Enumeration Date
2023-05-16
Last Update Date
2023-05-16
Business Address
LUIS ANTHONY ESCOBAR CADC, LCDP
66 BURNETT ST
PROVIDENCE, RI 02907-2527
Phone number: 401-433-8336
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Mailing Address
LUIS ANTHONY ESCOBAR CADC, LCDP
311 MAYFIELD AVE
CRANSTON, RI 02920-2947
Phone number: 401-433-8336
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