Individual
LISANDRA DJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 HOPE ST, PROVIDENCE, RI 02906-2001
(401) 331-1350
Mailing address
63 BRISTOL AVE, PAWTUCKET, RI 02861-2117
(401) 572-8052
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT00218
RI
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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