Individual
CASEY E LUMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1992 OLD LOUISQUISSET PIKE, LINCOLN, RI 02865-4590
(860) 997-5417
(401) 475-0729
Mailing address
1992 OLD LOUISQUISSET PIKE, LINCOLN, RI 02865-4590
(860) 997-5417
(401) 475-0729
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ISW02783
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ISW02783
LICSW
RI
Enumeration date
01/23/2018
Last updated
01/23/2018
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