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
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