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1851612626
SHANA M GIETL
PROVIDENCE, RI
NPI
1851612626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MA 6456)
Enumeration Date
2010-06-16
Last Update Date
2010-06-16
Business Address
-- SHANA M GIETL LMHC
1 HILTON ST
PROVIDENCE, RI 02905-2313
Phone number: 401-455-6068
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Mailing Address
-- SHANA M GIETL LMHC
61 BARTLETT AVE
CRANSTON, RI 02905-1334
Phone number: 401-215-6757
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