Individual
MRS. SUSAN W GRAEFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
390 TOLL GATE RD SUITE 206, WARWICK, RI 02886
(401) 732-6369
(401) 732-6369
Mailing address
390 TOLL GATE RD SUITE 206, WARWICK, RI 02886
(401) 732-6369
(401) 732-6369
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ISW00128
RI
1041C0700X
Clinical Social Worker
Primary
ISW00128
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7385
RI BLUE CROSS BLUE SHIELD
RI
Enumeration date
01/11/2007
Last updated
05/08/2019
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