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Individual
MRS. ELIZABETH A PACKHEM
Active
Individual
MRS. ELIZABETH A PACKHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN LCDCS CD
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCS 00014
RI
163W00000X
Registered Nurse
RN08467
RI
Other
Enumeration date
08/25/2006
Last updated
09/11/2025
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