LISA BROCCOLI DEFUSCO

PROVIDENCE, RI
NPI1952656837
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: RI  CSW01449)
Enumeration Date2012-07-17
Last Update Date2012-07-17
Business Address
MRS. LISA BROCCOLI DEFUSCO LCSW
55 HOPE ST
PROVIDENCE, RI 02906-2001
Phone number: 401-331-1350
Mailing Address
MRS. LISA BROCCOLI DEFUSCO LCSW
PO BOX 6688
PROVIDENCE, RI 02940-6688
Phone number: 401-331-1350
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