Individual
THEADORE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 INDIANA AVE, PROVIDENCE, RI 02905-2822
(401) 489-9977
Mailing address
251 INDIANA AVE, PROVIDENCE, RI 02905-2822
(401) 489-9977
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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