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1952560872
LISA WILSON
PAWTUCKET, RI
NPI
1952560872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI CSW01085)
Enumeration Date
2008-06-05
Last Update Date
2009-04-29
Business Address
-- LISA WILSON lcsw
160 BEECHWOOD AVE
PAWTUCKET, RI 02860-5402
Phone number: 401-722-5573
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Mailing Address
-- LISA WILSON lcsw
160 BEECHWOOD AVE
PAWTUCKET, RI 02860-5402
Phone number: 401-722-5573
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