Individual
MRS. LAURA ANN BEAUDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
610 MANTON AVE, PROVIDENCE, RI 02909-5633
(401) 274-6310
Mailing address
55 MASHIE CIR, COVENTRY, RI 02816-5789
(401) 829-1031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01596
RI
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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