| Susan D Worthen | |
|
2444 E Main Rd Portsmouth RI 02871-4025 | |
| (401) 683-7460 | |
| Not Available |
| Full Name | Susan D Worthen |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2444 E Main Rd, Portsmouth, Rhode Island |
| Authorized Official Name and Position | Susan D Worthen (SOLE PROPRIETOR) |
| Authorized Official Contact | 4016837460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan D Worthen 2444 E Main Rd Portsmouth RI 02871-4025 Ph: () - | Susan D Worthen 2444 E Main Rd Portsmouth RI 02871-4025 Ph: (401) 683-7460 |
| NPI Number | 1912251091 |
|---|---|
| Provider Enumeration Date | 10/29/2012 |
| Last Update Date | 10/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912251091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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