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-- SUSAN MANDRACHIA KILLEBREW -- MSW

Individual Provider (NPI-1) Active

Social Worker, Clinical

Provider Information

NPI Number
1760660773
Provider Type
Individual Provider (NPI-1)
Credentials
MSW
Status
Active

Contact & Location

Address
107 CLOCK TOWER SQUARE, PORTSMOUTH, RI, 02871
Phone
(401) 683-7600
Fax
(401) 683-5415

Specialties & Taxonomies

Social Worker, Clinical Primary License: RI #ISW00095

All Addresses

LOCATION

107 CLOCK TOWER SQUARE

PORTSMOUTH, RI, 02871

(401) 683-7600

MAILING

15 CLARKE ST #1

NEWPORT, RI, 028403047

(401) 847-4115