BRENDA DIANE ELINE

PORTSMOUTH, RI
NPI1942605522
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: RI  CDP595)
Enumeration Date2014-10-25
Last Update Date2014-10-25
Business Address
BRENDA DIANE ELINE
11 KING CHARLES DR STE A2
PORTSMOUTH, RI 02871-1364
Phone number: 401-683-0857
Mailing Address
BRENDA DIANE ELINE
11 KING CHARLES DR STE A2
PORTSMOUTH, RI 02871-1364
Phone number: 401-683-0857
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