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Organization
ADOM THERAPEUTIC SERVICES, LLC
Active
Organization
ADOM THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDETTE M BANNERMAN (LICSW)
(401) 742-7211
Entity
Organization
Contact information
Practice address
137 CALLA STREET, PROVIDENCE, RI 02905
(401) 742-7211
Mailing address
137 CALLA STREET, PROVIDENCE, RI 02905
(401) 903-4277
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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