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Individual

MS. LUCILLE GLOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
660 COMMONWEALTH AVE, WARWICK, RI 02886-2707
(401) 739-4241
Mailing address
25 PRESCOTT AVE, RIVERSIDE, RI 02915-1919

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
256
RI

Other

Enumeration date
06/17/2015
Last updated
06/17/2015
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