Individual
PASQUALINA J LUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDP
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 274-2500
Mailing address
528 N MAIN ST, PROVIDENCE, RI 02904-5757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00517
RI
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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