JEFFREY SCOTT DEROUIN

PAWTUCKET, RI
NPI1760902225
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2017-06-26
Last Update Date2022-07-21
Business Address
JEFFREY SCOTT DEROUIN
82 POND ST
PAWTUCKET, RI 02860-4462
Phone number: 401-727-1287
Mailing Address
JEFFREY SCOTT DEROUIN
82 POND ST
PAWTUCKET, RI 02816
Phone number: 401-727-1287
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