KRISTEN WICANDER

PROVIDENCE, RI
NPI1912512690
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: RI  MHC01703)
Enumeration Date2020-09-10
Last Update Date2024-09-11
Business Address
KRISTEN WICANDER MS
400 RESERVOIR AVE STE 2C
PROVIDENCE, RI 02907-3595
Phone number: 401-203-3068
Mailing Address
KRISTEN WICANDER MS
519 PLEASANT VALLEY PKWY APT 2
PROVIDENCE, RI 02908-4211
Phone number: 401-203-3068
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