Individual
MS. DONNA FAITH LUPATKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
233 HARVARD ST, SUITE 36, BROOKLINE, MA 02446-5069
(781) 942-6311
(617) 232-4145
Mailing address
233 HARVARD ST, SUITE 36, BROOKLINE, MA 02446-5069
(781) 942-6311
(617) 232-4145
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
104811
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LUPO2956
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/09/2006
Last updated
07/08/2007
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