Individual
DAVID RYAN SHEMANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
30 HOLMES AVE, WATERBURY, CT 06710-2412
(203) 707-5607
Mailing address
161 WHITING ST, PLAINVILLE, CT 06062-2844
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1599
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1599
—
CT
Enumeration date
02/06/2018
Last updated
02/06/2018
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