Individual
MELLISSA ROSE LACROIX DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1126 HARTFORD AVE, JOHNSTON, RI 02919-7109
(401) 351-2750
Mailing address
39 LOCKMERE RD, CRANSTON, RI 02910-4321
(401) 241-8646
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW02290
RI
Other
Enumeration date
08/12/2020
Last updated
08/15/2023
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