Individual
LORI LYNN NORMANDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37 WINDSOR RD, CRANSTON, RI 02905-3724
(401) 258-0866
Mailing address
37 WINDSOR RD, CRANSTON, RI 02905-3724
(401) 258-0866
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112129
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112129
SOCIAL WORK LICENSE
MA
Enumeration date
08/22/2018
Last updated
08/22/2018
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