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NPI Profile for SUSANNE G DEFEDELE in LINCOLN, RI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health, Child & Adolescent |
364SP0807X | 89 | Certified Clinical Nurse Specialist |
| NPI Number | 1952484545 |
|
| Status | Active | |
| Credentials | PCNS | |
| Entity | Individual | |
| Enumeration date | 10/24/2006 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SUSANNE G DEFEDELE
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SUSANNE G DEFEDELE, PCNS