Individual
NANETTE FABIENNE CICILLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
71 GRACE ST, CRANSTON, RI 02910-2034
(401) 270-6156
(401) 270-2316
Mailing address
71 GRACE ST, CRANSTON, RI 02910-2034
(401) 270-6156
(401) 270-2316
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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