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1881621597
DAVID THAYER
PROVIDENCE, RI
NPI
1881621597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI ISW01440)
Enumeration Date
2006-06-27
Last Update Date
2008-07-25
Business Address
-- DAVID THAYER LICSW
520 HOPE ST
PROVIDENCE, RI 02906-2532
Phone number: 401-276-4155
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Mailing Address
-- DAVID THAYER LICSW
528 N MAIN ST
PROVIDENCE, RI 02904-5757
Phone number:
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