Individual
MRS. SUSAN M SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC
Contact information
Practice address
1625 DIAMOND HILL RD, WOONSOCKET, RI 02895-1541
(401) 762-1511
Mailing address
11 PEASE ST, FAIRHAVEN, MA 02719-3024
(508) 441-7983
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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