Individual
MRS. STEPHANIE JEAN GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED
Contact information
Practice address
1000 EDDY STREET, PROVIDENCE, RI 02905
(401) 533-9100
Mailing address
342 SARGENT ST, WARWICK, RI 02888-3216
(401) 391-9242
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
9620981
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6400144
EI UNITED
RI
Enumeration date
06/24/2008
Last updated
02/23/2011
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