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1770895393
MICHAEL D DEFORBES
PAWTUCKET, RI
NPI
1770895393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: RI CDP00466)
Enumeration Date
2010-07-12
Last Update Date
2017-05-05
Business Address
MR. MICHAEL D DEFORBES LCDP
31 NORTH UNION STREET
PAWTUCKET, RI 02860
Phone number: 401-461-9110
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Mailing Address
MR. MICHAEL D DEFORBES LCDP
31 NORTH UNION STREET
PAWTUCKET, RI 02860
Phone number: 401-725-2520
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