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Individual

LAURIE COLLEEN RACKLEY-JOSEPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
610 WAMPANOAG TRAIL, EAST PROVIDENCE, RI 02915-1506
(401) 431-9870
Mailing address
610 WAMPANOAG TRAIL, EAST PROVIDENCE, RI 02915-1506
(401) 431-9870

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02018
RI

Other

Enumeration date
09/29/2009
Last updated
11/14/2012
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