JOSEPH FULLEN

NORTH KINGSTOWN, RI
NPI1760705735
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI  CDP00201)
Enumeration Date2010-03-05
Last Update Date2010-03-05
Business Address
-- JOSEPH FULLEN ACDP, ICADC
580 TEN ROD RD
NORTH KINGSTOWN, RI 02852-4220
Phone number: 401-294-6170
Mailing Address
-- JOSEPH FULLEN ACDP, ICADC
580 TEN ROD RD
NORTH KINGSTOWN, RI 02852-4220
Phone number: 401-294-6170
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