Individual
MRS. STEPHANIE CARLILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
16 PECKHAM LN, TIVERTON, RI 02878-4108
(401) 480-1743
Mailing address
16 PECKHAM LN, TIVERTON, RI 02878-4108
(401) 480-1743
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN01146
RI
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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