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Organization

THE GOODWELL PRACTICE LLC

Active
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Organization

THE GOODWELL PRACTICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEFFEN GILLOM PHD, LMFT (MEMBER)
(401) 310-3856
Entity
Organization

Contact information

Practice address
750 EAST AVE UNIT 27, PAWTUCKET, RI 02860-6245
(401) 310-3856
Mailing address
750 EAST AVE # 27, PAWTUCKET, RI 02860-6245
(401) 310-3856

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—

Other

Enumeration date
12/02/2025
Last updated
08/31/2026
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