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Individual

MEGAN SANDERSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ISW01504

Contact information

Practice address
450 WICKENDEN STREET, PROVIDENCE, RI 02905
(401) 497-8747
(401) 842-0360
Mailing address
201 NEW YORK AVE, PROVIDENCE, RI 02905-4409
(401) 497-8747
(401) 842-0360

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW01504
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MS49504
RI
Enumeration date
05/25/2006
Last updated
07/08/2007
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