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Individual
JUDITH W SEMONOFF
Active
Individual
JUDITH W SEMONOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
115688
MA
1041C0700X
Clinical Social Worker
Primary
ISW01351
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092
EI NHPRC
RI
01
—
292177
EI BCROSS
RI
01
—
412296
EI BCHIP
RI
01
—
6400144
EI UHP
RI
05
—
ES01788
—
RI
Enumeration date
07/15/2006
Last updated
03/20/2018
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