LEON O. BACK

PROVIDENCE, RI
NPI1720558745
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: RI  ISW03876)
Enumeration Date2018-12-03
Last Update Date2024-04-04
Business Address
LEON O. BACK LICSW
78 BAKER ST
PROVIDENCE, RI 02905-4417
Phone number: 401-781-2400
Mailing Address
LEON O. BACK LICSW
78 BAKER ST
PROVIDENCE, RI 02905-4417
Phone number: 401-781-2400
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