Individual
CHRISTOPHER WILLIAM STAUBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
75 STATE ST, BOSTON, MA 02109-1827
(248) 229-1121
Mailing address
75 STATE ST, BOSTON, MA 02109-1827
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801094317
MI
Other
Enumeration date
12/17/2021
Last updated
03/13/2022
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