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1679877906
KELLY LEVESQUE
PAWTUCKET, RI
NPI
1679877906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI CDP00429)
Enumeration Date
2010-12-30
Last Update Date
2010-12-30
Business Address
-- KELLY LEVESQUE LCDP
166 PAWTUCKET AVE
PAWTUCKET, RI 02860-3811
Phone number: 401-722-4644
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Mailing Address
-- KELLY LEVESQUE LCDP
166 PAWTUCKET AVE
PAWTUCKET, RI 02860-3811
Phone number: 401-722-4644
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