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1659409647
BRENDA BEAUREGARD
PAWTUCKET, RI
NPI
1659409647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: RI LCDP345)
Enumeration Date
2007-03-01
Last Update Date
2007-07-09
Business Address
BRENDA BEAUREGARD LCDP
249 ROOSEVELT AVE
PAWTUCKET, RI 02860-2134
Phone number: 401-724-8400
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Mailing Address
BRENDA BEAUREGARD LCDP
249 ROOSEVELT AVE
PAWTUCKET, RI 02860-2134
Phone number: 401-724-8400
Copy
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