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1881189165
TINA WAMBOLT
WOONSOCKET, RI
NPI
1881189165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: RI CDP00741)
Enumeration Date
2018-06-28
Last Update Date
2018-06-28
Business Address
TINA WAMBOLT LCDP
55 CUMMINGS WAY
WOONSOCKET, RI 02895-3247
Phone number: 401-235-7000
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Mailing Address
TINA WAMBOLT LCDP
PO BOX 1700
WOONSOCKET, RI 02895-0856
Phone number: 401-235-7000
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