Individual
LARRY THOMAS BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 S COUNTY COMMONS WAY FL 2, WAKEFIELD, RI 02879-8240
(415) 971-2246
(401) 208-0563
Mailing address
35 S COUNTY COMMONS WAY FL 2, WAKEFIELD, RI 02879-8240
(401) 208-0563
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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