Individual
DONNA J LAVIMODIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
55 CHERRY LN, WAKEFIELD, RI 02879-3617
(401) 789-1367
Mailing address
4075A OLD POST RD., CHARLESTOWN, RI 02813
(401) 364-7705
(401) 364-9104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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