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Individual

LINDA SERABIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1070 MAIN ST, PAWTUCKET, RI 02860-4847
(401) 727-6413
Mailing address
528 N MAIN ST, PROVIDENCE, RI 02904-5757

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01082
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1104847946
THE PROVIDENCE CENTER NPI
RI
01
30882-7
BLUE CROSS
RI
01
406712
BLUE CHIP
RI
01
62-13272
UNITED BEHAVIORAL HEALTH
RI
05
LS24694
RI
Enumeration date
07/21/2006
Last updated
07/25/2008
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