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Organization

SOUTH COUNTY BEHAVIORAL MEDICINE INC

Active
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Organization

SOUTH COUNTY BEHAVIORAL MEDICINE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JON KIMPTON (OWNER/ PRESIDENT)
(401) 789-2306
Entity
Organization

Contact information

Practice address
24 SALT POND RD, UNIT D3, WAKEFIELD, RI 02879-4314
(401) 789-2306
Mailing address
PO BOX 360, WAKEFIELD, RI 02880-0360
(401) 789-2306

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
06/24/2008
Last updated
06/24/2008
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