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Individual

DR. KEVIN FARRELL GAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
25 TINGLEY DR, CUMBERLAND, RI 02864-4216
(401) 400-1382
Mailing address
25 TINGLEY DR, CUMBERLAND, RI 02864-4216
(401) 400-1382

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS01690
RI
103T00000X
Psychologist
PY0377
NV

Other

Enumeration date
06/25/2018
Last updated
06/25/2018
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