Individual
DEBRA TUCKER DERAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
60 BAY SPRING AVE, SUITE 2B, BARRINGTON, RI 02806-1384
(617) 866-0589
(508) 557-0234
Mailing address
65 BLACKSMITH RD, SEEKONK, MA 02771-1934
(401) 419-6175
(401) 289-0006
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02306
RI
Other
Enumeration date
01/09/2017
Last updated
01/18/2017
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