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Individual

RYAN JOSEPH GLODE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A., LMHC

Contact information

Practice address
400 MASSASOIT AVE, EAST PROVIDENCE, RI 02914-2012
(401) 294-0451
Mailing address
400 MASSASOIT AVE, EAST PROVIDENCE, RI 02914-2012
(401) 294-0451

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00932
RI
101YM0800X
Mental Health Counselor
10472
MA

Other

Enumeration date
07/28/2015
Last updated
04/09/2018
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