BROADWAY PSYCHOTHERAPY, INC.
Social Work at Broadway, Providence, RI

License number
Rhode Island PS00585
Category
Social Work
Type
Clinical
License number
Rhode Island ISW00174
Category
Social Work
Type
Clinical
Owner
Name: DR. JEFFREY P. MIGNEAULT PH.D.
Title: PRESIDENT
Phone: (401) 270-9808
Address
Address
347 Broadway, Providence, RI 02909
National Provider ID: 1811162316
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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