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1942446992
JUDSON LISIECKA
PROVIDENCE, RI
NPI
1942446992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI ISW01877)
Enumeration Date
2008-12-22
Last Update Date
2008-12-22
Business Address
Mr. JUDSON LISIECKA LICSW
153 SUMMER ST
PROVIDENCE, RI 02903-4011
Phone number: 401-276-4334
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Mailing Address
Mr. JUDSON LISIECKA LICSW
153 SUMMER ST
PROVIDENCE, RI 02903-4011
Phone number: 401-276-4334
Copy
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