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1821714569
KRYSTAL AWILDA FERMIN
PROVIDENCE, RI
NPI
1821714569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI CSW02805)
Enumeration Date
2022-10-14
Last Update Date
2022-10-14
Business Address
KRYSTAL AWILDA FERMIN LCSW
22 MILO ST
PROVIDENCE, RI 02909-5950
Phone number: 401-654-7197
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Mailing Address
KRYSTAL AWILDA FERMIN LCSW
22 MILO ST
PROVIDENCE, RI 02909-5950
Phone number: 401-654-7197
Copy
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