Individual
LISA MARIE LAMONTAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
88 BLACKINTON DR, CHEPACHET, RI 02814-2175
(401) 499-9126
Mailing address
88 BLACKINTON DR, CHEPACHET, RI 02814-2175
(401) 499-9126
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CSW02826
RI
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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