Individual
MS. ANN M. PRUEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
540 GREENVILLE AVE, JOHNSTON, RI 02919-2217
(401) 232-0218
(401) 331-5949
Mailing address
540 GREENVILLE AVE, JOHNSTON, RI 02919-2217
(401) 232-0218
(401) 331-5949
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01081
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000241661
BLUE CROSS BLUE SHIELD
RI
01
—
1034930
NEIGHBORHOOD HEALTH PLAN
RI
01
—
6246222
UNITED BEHAVIORAL HEALTH
RI
Enumeration date
12/21/2006
Last updated
07/08/2007
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