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Individual

LAMARA FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
194 WATERMAN ST, PROVIDENCE, RI 02906-4015
(401) 386-9105
Mailing address
194 WATERMAN ST STE 11, PROVIDENCE, RI 02906-4015

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
308
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APN.0996359
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN03588
RI

Other

Enumeration date
12/03/2014
Last updated
12/23/2024
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