Individual
MS. MARILYN T. LACAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
311 DORIC AVE, CRANSTON, RI 02910-2903
(401) 467-9610
(401) 467-9030
Mailing address
311 DORIC AVE, CRANSTON, RI 02910-2903
(401) 467-9610
(401) 467-9030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDP00287
RI
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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