Individual
MISS STEPHANIE LYNN DEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 POPLAR DR, TIVERTON, RI 02878-2302
(401) 447-4967
Mailing address
36 POPLAR DR, TIVERTON, RI 02878-2302
(401) 447-4967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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