Individual
MISS KYLE ALEXANDRA MACGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
171 CHESTNUT ST STE 200, PROVIDENCE, RI 02903-4604
(401) 756-1317
Mailing address
171 CHESTNUT ST STE 200, PROVIDENCE, RI 02903-4604
(401) 756-1317
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/26/2021
Last updated
12/16/2025
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