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1730722984
MADELINE KALLMYER
PROVIDENCE, RI
NPI
1730722984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-10-21
Last Update Date
2022-11-22
Business Address
MADELINE KALLMYER
530 N MAIN ST
PROVIDENCE, RI 02904-5762
Phone number: 443-717-1692
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Mailing Address
MADELINE KALLMYER
22 WALL ST UNIT 24B
BRISTOL, RI 02809-3615
Phone number: 443-717-1692
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