Individual
MR. DANIEL MARTIN MUSHOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
501 ANGELL ST, PROVIDENCE, RI 02906-4467
(401) 454-4540
Mailing address
31 ANSON DR, RIVERSIDE, RI 02915-2763
(401) 454-4540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW 000419
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7450 6
BC BS ID
RI
Enumeration date
12/20/2006
Last updated
07/08/2007
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