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Individual

MR. KYLE NORMAND GAMACHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC, QMHP

Contact information

Practice address
50 BALLSTON AVE, PAWTUCKET, RI 02861-2716
(401) 374-5218
Mailing address
50 BALLSTON AVE, PAWTUCKET, RI 02861-2716
(401) 374-5218

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
05/14/2009
Last updated
09/27/2013
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