ERIC YOUNGBLOOD WILLIE MCKNIGHT

PROVIDENCE, RI
NPI1972801835
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: RI  ISW02135)
Enumeration Date2011-03-02
Last Update Date2013-01-02
Business Address
ERIC YOUNGBLOOD WILLIE MCKNIGHT LICSW
150 CHESTNUT ST FLOOR 5
PROVIDENCE, RI 02903-4645
Phone number: 401-465-0156
Mailing Address
ERIC YOUNGBLOOD WILLIE MCKNIGHT LICSW
150 CHESTNUT ST FLOOR 5
PROVIDENCE, RI 02903-4645
Phone number: 401-465-0156
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