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Individual

MRS. SARAH MARIE SALK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 EDDY ST, PROVIDENCE, RI 02905-4739
(140) 153-3910
(401) 533-9105
Mailing address
1000 EDDY ST, PROVIDENCE, RI 02905-4739
(140) 153-3910
(401) 533-9105

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
174400000X
Specialist
Primary
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0614
NEIGHBORHOOD HEALTH
RI
05
ES01788
RI
01
SB870
BLUE CROSS
RI
Enumeration date
07/12/2010
Last updated
08/17/2016
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