Individual
MISS ALEXIS GEORGIA CHIRBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 DUDLEY ST STE 3352, PROVIDENCE, RI 02905-2401
(401) 430-1925
Mailing address
70 HOPE AVE, WALTHAM, MA 02453-2732
(978) 944-9421
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
08/12/2020
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