Individual
SUSAN MANDRACHIA KILLEBREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
107 CLOCK TOWER SQUARE, PORTSMOUTH, RI 02871
(401) 683-7600
(401) 683-5415
Mailing address
15 CLARKE ST, #1, NEWPORT, RI 02840-3047
(401) 847-4115
(401) 847-8737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00095
RI
Other
Enumeration date
02/01/2008
Last updated
11/25/2008
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