Individual
MRS. COURTNEY LYNN PETRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
1000 EDDY ST, 100 EDDY ST., PROVIDENCE, RI 02905-4739
(401) 533-9100
(401) 533-9102
Mailing address
1000 EDDY ST, PROVIDENCE, RI 02905-4739
(401) 533-9100
(401) 533-9102
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/18/2011
Last updated
09/05/2012
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