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1720558745
LEON O. BACK
PROVIDENCE, RI
NPI
1720558745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI ISW03876)
Enumeration Date
2018-12-03
Last Update Date
2024-04-04
Business Address
LEON O. BACK LICSW
78 BAKER ST
PROVIDENCE, RI 02905-4417
Phone number: 401-781-2400
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Mailing Address
LEON O. BACK LICSW
78 BAKER ST
PROVIDENCE, RI 02905-4417
Phone number: 401-781-2400
Copy
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