Individual
NANCY ANN DEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
23 NORTH RD, A25, WAKEFIELD, RI 02879-2176
(401) 864-6004
Mailing address
629 SOUTH RD, WAKEFIELD, RI 02879-7618
(401) 789-9989
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00184
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3411-7
BLUE CROSS PROVIDER NO.
RI
01
—
409236
BLUE CHIP PROVIDER NUMBER
RI
Enumeration date
01/04/2007
Last updated
07/08/2007
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