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Individual

JEFFREY DIPIETRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
116 LONG ST, WARWICK, RI 02886-7726
(401) 732-1540
Mailing address
116 LONG ST, WARWICK, RI 02886-7726
(401) 732-1540

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
300
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
JD53321
RI
Enumeration date
05/15/2007
Last updated
07/09/2007
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