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1902983372
PETER A MAGNOTTA
WAKEFIELD, RI
NPI
1902983372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI ISW01343)
Enumeration Date
2006-11-01
Last Update Date
2008-02-14
Business Address
-- PETER A MAGNOTTA LICSW
55 CHERRY LN
WAKEFIELD, RI 02879-3617
Phone number: 401-789-1367
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Mailing Address
-- PETER A MAGNOTTA LICSW
55 CHERRY LN
WAKEFIELD, RI 02879-3617
Phone number: 401-789-1367
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