Individual
MRS. LAURIE ELLEN DELUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LCDP
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 437-8001
Mailing address
144 FRANKLIN RD, COVENTRY, RI 02816
(401) 385-9360
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00499
RI
Other
Enumeration date
05/24/2006
Last updated
06/15/2011
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