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Organization

GREAT COMMISSION ASSOCIATES LLC

Active
Other names
Courageous Hearts Counseling Center
Organization subpart
No

Provider details

NPI number
Authorized official
JOISE GARZON LICSW (AUTHORIZED OFFICIAL)
(401) 376-2363
Entity
Organization

Contact information

Practice address
331 BROADWAY UNIT 202, PROVIDENCE, RI 02909-1101
(401) 376-2363
Mailing address
331 BROADWAY UNIT 202, PROVIDENCE, RI 02909-1101

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
07/11/2023
Last updated
07/11/2023
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