Individual
MS. PATRICIA ANN SURPRENANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LICSW,ACSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1027841
MA
1041C0700X
Clinical Social Worker
Primary
ISW01076
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
809002881
—
RI
05
—
9002881
—
RI
Enumeration date
10/24/2005
Last updated
10/20/2017
Update your record
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