THEODORE WILLIAM BLICKWEDEL

JOHNSTON, RI
NPI1669957932
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: RI  ISW02141)
Enumeration Date2018-10-02
Last Update Date2018-10-02
Business Address
Mr. THEODORE WILLIAM BLICKWEDEL MSW, LICSW
1395 ATWOOD AVE STE 201
JOHNSTON, RI 02919-4931
Phone number: 401-383-7633
Mailing Address
Mr. THEODORE WILLIAM BLICKWEDEL MSW, LICSW
1395 ATWOOD AVE STE 201
JOHNSTON, RI 02919-4931
Phone number: 401-383-7633
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