Individual
MRS. LYNN ROSELLE RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW-36819
ID
104100000X
Social Worker
LMSW-34284
ID
1041C0700X
Clinical Social Worker
LCSW-36819
ID
224Z00000X
Occupational Therapy Assistant
OTA-67
ID
Other
Enumeration date
11/21/2012
Last updated
06/05/2023
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