Individual
SHANICE ASTRID LUM YOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MEDWAY ST, PROVIDENCE, RI 02906-4402
(401) 421-4100
Mailing address
100 MEDWAY ST, PROVIDENCE, RI 02906-4402
(401) 421-4100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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