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1952388068
ELISABETH KORNBLEE
PROVIDENCE, RI
NPI
1952388068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 106871)
Enumeration Date
2005-12-29
Last Update Date
2018-08-27
Business Address
ELISABETH KORNBLEE LICSW
151 TABER AVE APT 4
PROVIDENCE, RI 02906
Phone number: 401-751-5120
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Mailing Address
ELISABETH KORNBLEE LICSW
151 TABER AVE APT 4
PROVIDENCE, RI 02906-3358
Phone number: 401-751-5120
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