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Individual
SUSANNA M PHILIBERT
Active
Individual
SUSANNA M PHILIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LCDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDP00050
RI
104100000X
Social Worker
1SW01479
RI
1041C0700X
Clinical Social Worker
Primary
ISW01479
RI
Other
Enumeration date
08/10/2006
Last updated
06/09/2026
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