Individual
KRISTINA HARRIOTT LAVOIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
82 POND ST, PAWTUCKET, RI 02860-4462
(401) 724-8400
(401) 722-5039
Mailing address
82 POND ST, PAWTUCKET, RI 02860-4462
(401) 724-8400
(401) 722-5039
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW01299
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
02/10/2010
Last updated
02/10/2010
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