DIANNE GEE SHUTTLESWORTH

PAWTUCKET, RI
NPI1871684688
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI  LCDCS00020)
Enumeration Date2006-09-27
Last Update Date2007-07-08
Business Address
Ms. DIANNE GEE SHUTTLESWORTH LCDCS
166 PAWTUCKET AVE
PAWTUCKET, RI 02860-3811
Phone number: 401-722-4644
Mailing Address
Ms. DIANNE GEE SHUTTLESWORTH LCDCS
166 PAWTUCKET AVE
PAWTUCKET, RI 02860-3811
Phone number: 401-683-3765