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1689452526
KATHLEEN A HIGGINBOTHAM
PROVIDENCE, RI
NPI
1689452526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: RI ISW01149)
Enumeration Date
2023-09-21
Last Update Date
2023-09-21
Business Address
KATHLEEN A HIGGINBOTHAM LICSW
164 SUMMIT AVE
PROVIDENCE, RI 02906-2894
Phone number: 401-793-2078
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Mailing Address
KATHLEEN A HIGGINBOTHAM LICSW
164 SUMMIT AVE
PROVIDENCE, RI 02906-2894
Phone number: 401-793-2078
Copy
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