ETHAN MOITRA

EAST PROVIDENCE, RI
NPI1699046276
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: RI  PS01274)
Enumeration Date2012-01-13
Last Update Date2012-01-13
Business Address
-- ETHAN MOITRA Ph.D.
400 MASSASOIT AVE STE 305 RICBT
EAST PROVIDENCE, RI 02914-2012
Phone number: 401-294-0451
Mailing Address
-- ETHAN MOITRA Ph.D.
400 MASSASOIT AVE STE 305 RICBT
EAST PROVIDENCE, RI 02914-2012
Phone number: 401-294-0451
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