Individual
LAURIE R KIELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
50A OFFICE PKWY, EAST PROVIDENCE, RI 02914-1636
(401) 434-0913
(401) 434-2086
Mailing address
50A OFFICE PKWY, EAST PROVIDENCE, RI 02914-1636
(401) 434-0913
(401) 434-2086
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
113446
MA
101YM0800X
Mental Health Counselor
Primary
ISW01725
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31046-4
BLUE CROSS BLUE SHIELD
RI
01
—
413138
BLUE CHIP
RI
01
—
9422907
PRIVATE HEALTHCARE SYSTEM
—
01
—
LK63949
EDS
RI
Enumeration date
05/11/2006
Last updated
07/08/2007
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