Individual
LAURIE ELLEN FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
178 NORWOOD AVE, CRANSTON, RI 02905-3923
(401) 921-1470
Mailing address
178 NORWOOD AVE, CRANSTON, RI 02905-3923
(401) 921-1470
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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