Individual
LUCELY D RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 UTTER ST, NORTH PROVIDENCE, RI 02904-5324
(401) 376-3097
Mailing address
555 N MAIN ST # 1171, PROVIDENCE, RI 02904-5722
(401) 376-3093
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW03495
RI
Other
Enumeration date
05/03/2016
Last updated
02/10/2023
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