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1629643176
JACKSON MELNICK
PROVIDENCE, RI
NPI
1629643176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2021-05-26
Last Update Date
2021-05-26
Business Address
JACKSON MELNICK
38 N COURT ST STE 2
PROVIDENCE, RI 02903-1266
Phone number: 970-596-3194
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Mailing Address
JACKSON MELNICK
200 EXCHANGE ST UNIT 917
PROVIDENCE, RI 02903-2624
Phone number: 970-596-3194
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