Individual
SHANNON LE CORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
386 SMITH ST, PROVIDENCE, RI 02908-3727
(401) 753-4916
Mailing address
76 WOOD ST, PROVIDENCE, RI 02909-1920
(540) 230-4149
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW02867
RI
Other
Enumeration date
08/07/2024
Last updated
08/14/2024
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