| Full Name | Sa Inc |
|---|---|
| Speciality | Social Worker |
| Location | 92 Main Rd, Tiverton, Rhode Island |
| Authorized Official Name and Position | Deborah A Jesdale (OWNER) |
| Authorized Official Contact | 5082642197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sa Inc 92 Main Rd 2nd Fl Tiverton RI 02878 Ph: (508) 264-2197 | Sa Inc 92 Main Rd 2nd Fl Tiverton RI 02878 Ph: (508) 264-2197 |
| NPI Number | 1639704554 |
|---|---|
| Provider Enumeration Date | 03/11/2020 |
| Last Update Date | 03/11/2020 |
| Certification Date | 03/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639704554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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