Individual
EILEEN CHAMPOUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
139 NORTH ST, PITTSFIELD, MA 01201-5175
(413) 442-4003
(413) 582-4252
Mailing address
139 NORTH ST, PITTSFIELD, MA 01201-5175
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
110896
MA
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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