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Individual

MRS. RUTH K SANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(401) 432-1000
(401) 432-1509
Mailing address
77 CLIFF DRIVE, BRISTOL, RI 02809
(401) 253-2324

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1020967
MA
1041C0700X
Clinical Social Worker
Primary
LSW01585
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31146-1
BCBSRI
RI
01
413191
BLUE CHIP
05
RS56549
RI
Enumeration date
04/04/2007
Last updated
09/17/2008
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