JUDSON LISIECKA

PROVIDENCE, RI
NPI1942446992
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: RI  ISW01877)
Enumeration Date2008-12-22
Last Update Date2008-12-22
Business Address
MR. JUDSON LISIECKA LICSW
153 SUMMER ST
PROVIDENCE, RI 02903-4011
Phone number: 401-276-4334
Mailing Address
MR. JUDSON LISIECKA LICSW
153 SUMMER ST
PROVIDENCE, RI 02903-4011
Phone number: 401-276-4334