Provider Information for 1689966947
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SUSAN MEREDITH MACDONALD LMHC
Sex: Female
NPI: 1689966947
Last Updated: 2011-05-05
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1689966947 | ||||||||
| Enumeration Date | 2011-05-05 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1130 TEN ROD RD BLDG B-101 NORTH KINGSTOWN, RI 02852-4161 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 1130 TEN ROD RD BLDG B-101 NORTH KINGSTOWN, RI 02852-4161 United States Phone: 401-294-8181 | Fax: | ||||||||
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