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Organization

GENERATIVITY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM PAUL MACAUX PH.D. (PRINCIPAL)
(617) 312-5305
Entity
Organization

Contact information

Practice address
169 SPENCER AVE, EAST GREENWICH, RI 02818-4013
(617) 312-5305
Mailing address
169 SPENCER AVE, EAST GREENWICH, RI 02818-4013

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS00876
RI

Other

Enumeration date
07/11/2011
Last updated
07/11/2011
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