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Provider Information for 1679028831


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Miss SARAH MAILHOT MSW. LICSW


Sex: Female

NPI: 1679028831
Last Updated: 2024-08-06
Certification Date: 2024-08-06

Details

NameValue
NPI1679028831
Enumeration Date2016-08-17
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 18 HILLTOP DR
N SCITUATE, RI 02857-1215
United States

Phone: 401-487-0883 | Fax:
 
Primary Practice Address 18 HILLTOP DR
N SCITUATE, RI 02857-1215
United States

Phone: 401-487-0883 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)RIISW03129license
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 104100000X - Social Worker