LARRY M SHUSHANSKY

PROVIDENCE, RI
NPI1891747960
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: RI  ISW00391)
Enumeration Date2006-05-17
Last Update Date2018-06-21
Business Address
Mr. LARRY M SHUSHANSKY LICSW
182 BUTLER AVE STE 4
PROVIDENCE, RI 02906
Phone number: 401-298-1209
Mailing Address
Mr. LARRY M SHUSHANSKY LICSW
182 BUTLER AVE STE 4
PROVIDENCE, RI 02906-5317
Phone number: 401-829-1209