JACKIE BERRY

PAWTUCKET, RI
NPI1770837734
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-10-30
Last Update Date2012-10-30
Business Address
-- JACKIE BERRY CSSA
166 PAWTUCKET AVE
PAWTUCKET, RI 02860-3811
Phone number: 401-722-4644
Mailing Address
-- JACKIE BERRY CSSA
166 PAWTUCKET AVE
PAWTUCKET, RI 02860-3811
Phone number: 401-722-4644
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