Individual
MRS. ERIN B UPHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
7450 HERITAGE VILLAGE PLZ STE 100, GAINESVILLE, VA 20155-3090
(203) 623-1577
Mailing address
159 LITTLEWING WAY, STEPHENS CITY, VA 22655-5361
(203) 623-1577
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010290
VA
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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