Individual
LAWRENCE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01513
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104847946
THE PROVIDENCE CENTER NPI
RI
01
—
25758-7
BLUE CROSS
RI
01
—
411005
BLUE CHIP
RI
01
—
62-34779
UNITED BEHAVIORAL HEALTH
RI
05
—
LM34251
—
RI
Enumeration date
06/02/2006
Last updated
03/30/2009
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