Organization
COMPASSIONATE CARE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA TUCKER DERAGON LICSW (MEMBER)
(401) 419-6175
Entity
Organization
Contact information
Practice address
1525 OLD LOUISQUISSET PIKE STE 203, LINCOLN, RI 02865-4503
(401) 660-0463
Mailing address
69 BAIRD AVE, NORTH PROVIDENCE, RI 02904-3642
(401) 660-0463
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
02/04/2019
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