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1831610344
IVY MEDEIROS
WOONSOCKET, RI
NPI
1831610344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: RI ISW02077)
Enumeration Date
2017-07-06
Last Update Date
2017-07-06
Business Address
IVY MEDEIROS LICSW
245 MAIN ST
WOONSOCKET, RI 02895-3123
Phone number: 401-235-7000
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Mailing Address
IVY MEDEIROS LICSW
PO BOX 1700
WOONSOCKET, RI 02895-0856
Phone number: 401-235-7000
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