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Individual

MICHAEL P CROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCDP

Contact information

Practice address
1950 TOWER HILL RD, NORTH KINGSTOWN, RI 02852-6628
(401) 294-6160
(401) 295-2513
Mailing address
386 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 679-5222

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CDP00498
CHEMICAL DEPENDENCY PROFESSIONAL
RI
Enumeration date
10/13/2011
Last updated
10/13/2011
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