Individual
MS. SUSAN E ELLINGWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
73 GENE ALLEN RD, N SCITUATE, RI 02857-1059
(401) 206-2050
Mailing address
73 GENE ALLEN RD, N SCITUATE, RI 02857-1059
(401) 206-2050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02215
RI
Other
Enumeration date
02/15/2008
Last updated
04/23/2019
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