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1760822456
VIVIAN MADRID
PROVIDENCE, RI
NPI
1760822456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI CSW01547)
Enumeration Date
2013-06-27
Last Update Date
2014-09-25
Business Address
-- VIVIAN MADRID LCSW
830 CHALKSTONE AVE.
PROVIDENCE, RI 02908
Phone number: 401-273-7100
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Mailing Address
-- VIVIAN MADRID LCSW
830 CHALKSTONE AVE.
PROVIDENCE, RI 02908
Phone number: 401-273-7100
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