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Individual

DOROTHY SIMSON CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW, RN

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01354
RI
163W00000X
Registered Nurse
RN21193
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1104847946
THE PROVIDENCE CENTER NPI
RI
01
30008-1
BLUE CROSS
RI
01
408454
BLUE CHIP
RI
01
62-70216
UNITED BEHAVIORAL HEALTH
RI
05
DC22642
RI
Enumeration date
06/27/2006
Last updated
03/27/2009
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