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Individual

LYNNE KUDROWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1041C0700X
Clinical Social Worker
Primary
LMHC00359
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30343
RI
Enumeration date
05/14/2007
Last updated
09/02/2016
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