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1609084102
WILLIAM J PELLICIO
PROVIDENCE, RI
NPI
1609084102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI ISW00214)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
Mr. WILLIAM J PELLICIO LICSW
273 PRAIRIE AVE
PROVIDENCE, RI 02905-2331
Phone number: 401-273-7059
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Mailing Address
Mr. WILLIAM J PELLICIO LICSW
273 PRAIRIE AVE
PROVIDENCE, RI 02905-2331
Phone number: 401-273-7059
Copy
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