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1619018173
MATTHEW J BOWEN
PROVIDENCE, RI
NPI
1619018173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: RI PS00619)
Enumeration Date
2007-02-09
Last Update Date
2007-07-08
Business Address
Dr. MATTHEW J BOWEN Ph.D.
339 ANGELL ST
PROVIDENCE, RI 02906-3245
Phone number: 401-521-3400
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Mailing Address
Dr. MATTHEW J BOWEN Ph.D.
339 ANGELL ST
PROVIDENCE, RI 02906-3245
Phone number: 401-521-3400
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