Individual
LORI L. FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
17 ASHTON PARK WAY STE 202, CUMBERLAND, RI 02864-4827
(401) 654-8957
(401) 563-9799
Mailing address
2 DANGELIS DR, NORTH PROVIDENCE, RI 02911-3510
(401) 331-1350
(401) 277-3366
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01583
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LF43459
—
RI
Enumeration date
12/27/2006
Last updated
04/26/2021
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