Individual
GORDON P DUPUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
119 DRESSER ST, SOUTHBRIDGE, MA 01550-2436
(508) 764-2312
Mailing address
119 DRESSER ST, SOUTHBRIDGE, MA 01550-2436
(508) 764-2312
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
226475
MA
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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