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1578014098
KATHRYN ELLEN MCCULLOUGH
PROVIDENCE, RI
NPI
1578014098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI CSW1628)
Enumeration Date
2016-10-19
Last Update Date
2016-10-19
Business Address
Mrs. KATHRYN ELLEN MCCULLOUGH LCSW
825 CHALKSTONE AVE
PROVIDENCE, RI 02908-4728
Phone number: 401-456-2000
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Mailing Address
Mrs. KATHRYN ELLEN MCCULLOUGH LCSW
120 ROTH RD
DAYVILLE, CT 06241-1416
Phone number: 401-456-2000
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