Individual
MS. FATIMA A. DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
190 HIGH ST, BRISTOL, RI 02809-2238
(401) 254-2131
(401) 254-2131
Mailing address
631A WOOD ST, BRISTOL, RI 02809-2424
(401) 254-2131
(401) 254-2131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00148
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041250
BEACON
RI
01
—
3761-3
BLUE CROSS & BLUE SHIELD
RI
01
—
62-42188
UNITED HEALTHCARE
RI
Enumeration date
01/20/2007
Last updated
07/08/2007
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