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Individual

DEBRA B CHARZEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
134 THURBERS AVE., C/O FAMILY SERVICE OF RHODE ISLAND, PROVIDENCE, RI 02905
(401) 331-1350
(401) 277-3366
Mailing address
85 SCENIC DRIVE, WEST WARWICK, RI 02893-5499
(401) 333-1135
(401) 277-3366

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
5883
MA
235Z00000X
Speech-Language Pathologist
Primary
SP00722
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27260-1
BLUE CROSS/BLUE SHIELD
01
411520
BLUE CHIP
01
46-00025
UNITED HEALTH
Enumeration date
09/28/2006
Last updated
07/08/2007
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