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1861734063
LANCE C MCCORMACK
WARWICK, RI
NPI
1861734063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI CDP00439)
Enumeration Date
2013-03-26
Last Update Date
2013-03-26
Business Address
Mr. LANCE C MCCORMACK LCDP
1845 POST RD. SUITE #10N
WARWICK, RI 02886
Phone number: 401-737-4685
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Mailing Address
Mr. LANCE C MCCORMACK LCDP
1845 POST RD. SUITE #10N
WARWICK, RI 02886
Phone number: 401-737-4685
Copy
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