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Individual
JEFFREY NOLL
Active
Individual
JEFFREY NOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDP00349
RI
1041C0700X
Clinical Social Worker
Primary
ISW00666
RI
Other
Enumeration date
06/28/2006
Last updated
07/08/2008
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