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1891747960
LARRY M SHUSHANSKY
PROVIDENCE, RI
NPI
1891747960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI ISW00391)
Enumeration Date
2006-05-17
Last Update Date
2018-06-21
Business Address
Mr. LARRY M SHUSHANSKY LICSW
182 BUTLER AVE STE 4
PROVIDENCE, RI 02906
Phone number: 401-298-1209
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Mailing Address
Mr. LARRY M SHUSHANSKY LICSW
182 BUTLER AVE STE 4
PROVIDENCE, RI 02906-5317
Phone number: 401-829-1209
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