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1972064335
MARISA CICCONE
PAWTUCKET, RI
NPI
1972064335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI CPD00770)
Enumeration Date
2019-03-28
Last Update Date
2019-03-28
Business Address
MARISA CICCONE LCDP
31 N UNION ST
PAWTUCKET, RI 02860-2915
Phone number: 401-725-2520
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Mailing Address
MARISA CICCONE LCDP
31 N UNION ST
PAWTUCKET, RI 02860-2915
Phone number: 401-725-2520
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