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1588961197
TODD W ELLISON
PROVIDENCE, RI
NPI
1588961197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI 02033)
Enumeration Date
2011-02-16
Last Update Date
2015-09-07
Business Address
Mr. TODD W ELLISON MSW, LICSW
430 ACADEMY AVE
PROVIDENCE, RI 02908-4100
Phone number: 401-865-6019
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Mailing Address
Mr. TODD W ELLISON MSW, LICSW
430 ACADEMY AVE
PROVIDENCE, RI 02908-4100
Phone number: 401-865-6019
Copy
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