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Organization

MARTHA DEMPSTER, LICSW, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARTHA DEMPSTER LICSW (OWNER)
(401) 935-9784
Entity
Organization

Contact information

Practice address
1130 TEN ROD RD, SUITE D-104, NORTH KINGSTOWN, RI 02852-4180
(401) 935-9784
(401) 295-5552
Mailing address
1130 TEN ROD RD, SUITE D-104, NORTH KINGSTOWN, RI 02852-4180
(401) 935-9784
(401) 295-5552

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
ISW01537
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1037150
NEIGHBORHOOD HEALTH PLAN
RI
01
301257
BLUE CROSS BLUE SHIELD
RI
01
409249
BLUE CHIP
RI
Enumeration date
01/22/2007
Last updated
08/22/2020
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