Individual
MS. DIANNE GEE SHUTTLESWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDCS
Contact information
Practice address
166 PAWTUCKET AVE, PAWTUCKET, RI 02860-3811
(401) 722-4644
(401) 722-4867
Mailing address
166 PAWTUCKET AVE, PAWTUCKET, RI 02860-3811
(401) 683-3765
(401) 722-4867
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCS00020
RI
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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