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1427318104
SHANNON MARIE ERISMAN
PROVIDENCE, RI
NPI
1427318104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: RI PS01283)
Enumeration Date
2012-05-29
Last Update Date
2023-10-11
Business Address
SHANNON MARIE ERISMAN PhD
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906-4800
Phone number: 401-455-6351
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Mailing Address
SHANNON MARIE ERISMAN PhD
502 BULLOCKS POINT AVE
RIVERSIDE, RI 02915-3504
Phone number: 401-626-4823
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