Individual
MS. SUSAN G SIKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
184 WATERMAN ST, PROVIDENCE, RI 02906
(401) 351-1720
Mailing address
184 WATERMAN ST, PROVIDENCE, RI 02906
(401) 351-1720
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW00484
RI
104100000X
Social Worker
LCDP00202
RI
Other
Enumeration date
11/02/2006
Last updated
09/01/2011
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