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1720142409
DANIEL MARTIN MUSHOLT
PROVIDENCE, RI
NPI
1720142409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI ISW 000419)
Enumeration Date
2006-12-20
Last Update Date
2007-07-08
Business Address
Mr. DANIEL MARTIN MUSHOLT M.S.W.
501 ANGELL ST
PROVIDENCE, RI 02906-4467
Phone number: 401-454-4540
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Mailing Address
Mr. DANIEL MARTIN MUSHOLT M.S.W.
31 ANSON DR
RIVERSIDE, RI 02915-2763
Phone number: 401-454-4540
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