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1689027518
MIKA LORIEN MORGAN MACINNIS
PROVIDENCE, RI
NPI
1689027518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: RI PS01565)
Enumeration Date
2016-07-15
Last Update Date
2016-08-31
Business Address
-- MIKA LORIEN MORGAN MACINNIS Ph.D.
291 WATERMAN ST
PROVIDENCE, RI 02906-5130
Phone number: 401-338-8818
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Mailing Address
-- MIKA LORIEN MORGAN MACINNIS Ph.D.
64 MEMORIAL RD
PROVIDENCE, RI 02906-2720
Phone number: 401-338-8818
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