Organization
CENTER FOR INTEGRATED PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE RACKLEY-JOSEPH LICSW (MEMBER AND LICENSED PSYCHOTHERAPIST)
(401) 294-9323
Entity
Organization
Contact information
Practice address
1130 TEN ROD RD, SUITE D-307A, NORTH KINGSTOWN, RI 02852-4161
(401) 294-9323
(401) 294-9320
Mailing address
1130 TEN ROD RD, SUITE D-307A, NORTH KINGSTOWN, RI 02852-4161
(401) 294-9323
(401) 294-9320
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02018
RI
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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