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Individual

MARISSA ROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
80 MOSWANSICUT LAKE DR, SCITUATE, RI 02857-1153
(401) 864-0191
Mailing address
80 MOSWANSICUT LAKE DR, SCITUATE, RI 02857-1153

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/11/2018
Last updated
07/11/2018
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