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Individual

ELISHA W SWAJIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MASTERS

Contact information

Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
(401) 457-3370
Mailing address
830 CHALSTONE AVENUE, PROVIDENCE, RI 02908-4734
(401) 273-7100

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GH57134
RI
Enumeration date
03/09/2010
Last updated
11/22/2011
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