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1932676806
CHRYSTAL VERGARA-LOPEZ
PROVIDENCE, RI
NPI
1932676806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: RI PS01743)
Enumeration Date
2018-10-30
Last Update Date
2019-01-02
Business Address
CHRYSTAL VERGARA-LOPEZ Ph.D.
146 W RIVER ST FL 3
PROVIDENCE, RI 02904-2609
Phone number: 401-793-5700
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Mailing Address
CHRYSTAL VERGARA-LOPEZ Ph.D.
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 02905-4513
Phone number: 401-444-6779
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