Individual
L SANDIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDCS
Contact information
Practice address
20 GILLAN AVE, WARWICK, RI 02886-3104
(401) 732-9181
Mailing address
20 GILLAN AVE, WARWICK, RI 02886-3104
(401) 732-9181
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCS00001
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62-42512
UBH
RI
Enumeration date
08/01/2006
Last updated
07/08/2007
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