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1821500737
MAYAMAH FALLAH
PROVIDENCE, RI
NPI
1821500737
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: RI CSW02283)
Enumeration Date
2017-11-01
Last Update Date
2019-08-16
Business Address
MAYAMAH FALLAH MSW
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4000
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Mailing Address
MAYAMAH FALLAH MSW
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number:
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