Individual
THOMAS NICHOLAS SHUSTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
809 MAIN ST, EAST HARTFORD, CT 06108-3142
(860) 528-1359
Mailing address
94 CONNECTICUT BLVD, EAST HARTFORD, CT 06108-3013
(860) 610-6131
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
010408
CT
Other
Enumeration date
06/06/2016
Last updated
09/19/2019
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