NISA NIKOL SORENSEN

PROVIDENCE, RI
NPI1578242921
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-07-13
Last Update Date2023-07-13
Business Address
NISA NIKOL SORENSEN
111 WAYLAND AVE
PROVIDENCE, RI 02906-4371
Phone number: 401-396-7649
Mailing Address
NISA NIKOL SORENSEN
111 WAYLAND AVE
PROVIDENCE, RI 02906-4371
Phone number:
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