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Individual

SUSAN F STANHOPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
212 MAIN ST, WAKEFIELD, RI 02879
(401) 742-1765
Mailing address
18 STARLIGHT DR, WAKEFIELD, RI 02879-7808
(401) 742-1765

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01161
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1020660
BECON HEALTH STRATEGIES
01
140001161RI01
ANTHEM
01
140001161RI02
ANTHEM
01
22351-9
BLUE CROSS
RI
01
308018
MHN
01
359528500
OFFICE OF WORKERS COMP
01
407818
BLUE CHIP COORDINATED HEA
RI
01
62-48888
UNITED BEHAVIORAL HEALTH
01
IP308353
MAGELLAN HEALTH SERVICES
Enumeration date
11/29/2006
Last updated
11/20/2012
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