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Individual

MR. DAVID MICHAEL SHERLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCDP

Contact information

Practice address
15 BAKER PINE RD, WYOMING, RI 02898-1000
(401) 539-3002
(401) 539-8505
Mailing address
15 BAKER PINE RD, WYOMING, RI 02898-1000
(401) 539-3002
(401) 539-8505

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00309
RI

Other

Enumeration date
08/08/2006
Last updated
07/08/2007
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