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Individual

AMY J SKURKA

Active
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Individual

AMY J SKURKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDP00041
RI
101YM0800X
Mental Health Counselor
PC206
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000069520
BLUE CROSS
RI
05
—
AS32737
—
RI
01
—
CP00408220
BLUE CHIP
RI
Enumeration date
10/10/2006
Last updated
02/16/2011
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