BRIAN DICICCO

PROVIDENCE, RI
NPI1750838132
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: RI  MHC00990)
Enumeration Date2016-09-02
Last Update Date2018-10-29
Business Address
BRIAN DICICCO
591 ADMIRAL ST
PROVIDENCE, RI 02908-1541
Phone number: 401-383-2546
Mailing Address
BRIAN DICICCO
591 ADMIRAL ST
PROVIDENCE, RI 02908-1541
Phone number:
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