Individual
STACY KUPHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5 EDGELL RD STE 32, FRAMINGHAM, MA 01701-4868
(857) 273-2123
Mailing address
5 EDGELL RD STE 32, FRAMINGHAM, MA 01701-4868
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
224066
MA
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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