Individual
LAURA J UPPENDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LADC1
Contact information
Practice address
251 CAUSEWAY ST FL 2, BOSTON, MA 02114
(617) 248-1009
(617) 248-1014
Mailing address
251 CAUSEWAY ST, BOSTON, MA 02114-2148
(617) 248-1009
(617) 248-1014
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/30/2013
Last updated
07/30/2019
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