Individual
MONICA CHACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00059
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7401-0
BLUE CROSS BLUE SHIELD RI
RI
01
—
CP000204251-001
BLUECHIP RI
RI
Enumeration date
02/14/2007
Last updated
07/08/2007
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