STACIE LYN SOUZA

PROVIDENCE, RI
NPI1629188909
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: RI  CSW00735)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
Mrs. STACIE LYN SOUZA LICSW
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
Mailing Address
Mrs. STACIE LYN SOUZA LICSW
12 LITTLE JOHN LN
WEST WARWICK, RI 02893-5593
Phone number: 401-273-7100
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