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Organization

NANCY LYNN LEVESQUE KUBIC

Active
Other names
Psychological Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NANCY LYNN KUBIC LICSW (LICSW)
(401) 816-5800
Entity
Organization

Contact information

Practice address
625 MAIN RD, TIVERTON, RI 02878-1351
(401) 816-5800
(401) 816-5802
Mailing address
625 MAIN RD, TIVERTON, RI 02878-1351
(401) 816-5800

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1082610
BEACON HEALTH STRATEGIES
MA
01
294863
RHODE ISLAND BLUE CROSS & BLUE SHIELD
RI
01
7651763
AETNA
TX
01
NK68179
RHODE ISLAND MEDICAL ASSISTANCE
RI
Enumeration date
08/28/2008
Last updated
08/28/2008
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