KYLE PERRY POTTER

PROVIDENCE, RI
NPI1700447331
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-06-25
Last Update Date2019-06-25
Business Address
Mr. KYLE PERRY POTTER BA
110 ELMWOOD AVE
PROVIDENCE, RI 02907-2423
Phone number: 401-300-5757
Mailing Address
Mr. KYLE PERRY POTTER BA
104 RIVER ST
WAKEFIELD, RI 02879-3212
Phone number: 401-499-8286
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