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1669662987
RUSS ROBERT MORGANS
PROVIDENCE, RI
NPI
1669662987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI LCDP00365)
Enumeration Date
2007-08-01
Last Update Date
2007-08-01
Business Address
Mr. RUSS ROBERT MORGANS LCDP
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
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Mailing Address
Mr. RUSS ROBERT MORGANS LCDP
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
Copy
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