Individual
TARA LACOURSIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7010
(401) 736-4546
Mailing address
610 WAMPANOAG TRL, RIVERSIDE, RI 02915-1504
(401) 749-7698
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW03290
RI
Other
Enumeration date
01/15/2018
Last updated
06/17/2025
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