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Individual

SHAUNA MCCAFFERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
528 N MAIN ST UNIT 4, PROVIDENCE, RI 02904-5770
(401) 276-4020
Mailing address
152 HOLLAND AVE, RIVERSIDE, RI 02915-2049
(401) 516-4603
(401) 696-8389

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
CSW02075
RI
104100000X
Social Worker
Primary
ISW03117
RI

Other

Enumeration date
06/29/2017
Last updated
07/19/2021
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