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Individual

DR. SUSAN S. ERSTLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D., LICSW

Contact information

Practice address
55 HOPE ST, C/O FAMILY SERVICE OF RHODE ISLAND, PROVIDENCE, RI 02906-2001
(401) 331-1350
(401) 277-3366
Mailing address
72 JOHN ST, NEWPORT, RI 02840-3108
(401) 331-1350
(401) 277-3366

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ICSW00693
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1021740
NHP GROUP NUMBER
01
22215-6
BLUE CROSS/SHIELD
01
407771
BLUE CHIP
05
SE14183
RI
Enumeration date
08/12/2006
Last updated
07/08/2007
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