Individual
LEE TOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ISW01037
RI
1041C0700X
Clinical Social Worker
Primary
ISW01037
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261547322
—
MA
Enumeration date
08/22/2006
Last updated
11/02/2022
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