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Organization

SA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEBORAH A JESDALE LICSW (OWNER)
(508) 264-2197
Entity
Organization

Contact information

Practice address
92 MAIN RD, 2ND FL, TIVERTON, RI 02878
(508) 264-2197
Mailing address
92 MAIN RD, 2ND FL, TIVERTON, RI 02878
(508) 264-2197

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
03/11/2020
Last updated
03/11/2020
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