Individual
MISS LAUREN BETH SHIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 PONTIAC AVENUE APT 14101, CRANSTON, RI 02910
(401) 632-6801
Mailing address
825 PONTIAC AVE APT 14101, CRANSTON, RI 02910-5941
(401) 632-6801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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