RUSSELL J FORD-BROWN

PROVIDENCE, RI
NPI1891458782
Professional NameRUSSELL J FORD-BROWN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-10-18
Last Update Date2021-10-18
Business Address
RUSSELL J FORD-BROWN
66 PAVILION AVE
PROVIDENCE, RI 02905-1522
Phone number: 401-461-9110
Mailing Address
RUSSELL J FORD-BROWN
66 PAVILION AVE
PROVIDENCE, RI 02905-1522
Phone number: 401-461-9110