ELIJAH PAGE

PROVIDENCE, RI
NPI1689426314
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI  CDP00979)
Enumeration Date2024-04-04
Last Update Date2024-04-04
Business Address
ELIJAH PAGE LCDC
98 SUMTER ST
PROVIDENCE, RI 02907-2117
Phone number: 401-484-0494
Mailing Address
ELIJAH PAGE LCDC
98 SUMTER ST
PROVIDENCE, RI 02907-2117
Phone number: 401-484-0494
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