Individual
MR. SEAN JOSEPH LONERGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
480 METACOM AVE, BRISTOL, RI 02809-5119
(401) 273-7100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
214360
MA
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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