Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker | CSW01965 | |
Y | 1041C0700X | Clinical Social Worker | ISW02934 |
NPI | 1003265802 |
---|---|
Provider Name | Laura Ann Woods |
First Address | Lincoln, RI 02865-1102 |
Second Address | Lincoln, RI 02865-1102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2016 |
Last Update Date | 18/12/2020 |