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1992155238
KENNETH LINDGREN
PROVIDENCE, RI
NPI
1992155238
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI CDP00648)
Enumeration Date
2016-06-17
Last Update Date
2016-06-17
Business Address
-- KENNETH LINDGREN
530 N MAIN ST
PROVIDENCE, RI 02904-5762
Phone number: 401-228-6614
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Mailing Address
-- KENNETH LINDGREN
530 N MAIN ST
PROVIDENCE, RI 02904-5762
Phone number: 401-228-6614
Copy
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