Individual
MRS. SUSAN DIANE RUGGIERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LMHC, LCDCS
Contact information
Practice address
163 WATERMAN ST, PROVIDENCE, RI 02906-3109
(401) 331-9800
(401) 490-4047
Mailing address
5 CAMBRIDGE CIR, SMITHFIELD, RI 02917-2564
(401) 232-9004
(401) 231-0770
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00154
RI
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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