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Case Number and Status

Case Number: I-200-19023-107578

Submitted on:

CERTIFIED

on:

Employment

From: 2019-07-25

To: 2022-07-24 (1,095 days)

Address

3415 S Sepulveda Blvd
90034, CA 90025

Phone

4014562372


Attorney Summary

Location
Cranston, RI

Job Summary

Job Title
Psychiatrist
City and State
Providence, RHODE ISLAND
County
Providence

Soc Code
29-1066.00
Naics Code
Industry Code
621111