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1801296785
KATHERINE O'LEARY
PROVIDENCE, RI
NPI
1801296785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-08-28
Last Update Date
2014-08-28
Business Address
-- KATHERINE O'LEARY
66 PAVILION AVE
PROVIDENCE, RI 02905-1522
Phone number: 401-461-9110
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Mailing Address
-- KATHERINE O'LEARY
16 BAY VIEW AVE
MYSTIC, CT 06355-2302
Phone number: 860-690-7048
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