Individual
JAMISON MARIE LYNCH LANDSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
215 WASHINGTON ST, WEST WARWICK, RI 02893-5017
(401) 822-1360
Mailing address
63 GREYLOCK DR, PORTSMOUTH, RI 02871-2255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00447
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30107
BLUE CROSS BLUE SHIELD RI
RI
05
—
JL11584
—
RI
Enumeration date
01/02/2007
Last updated
07/08/2007
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