Individual
SAM RAPPAPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
529 MAIN ST STE 100, CHARLESTOWN, MA 02129-1119
(617) 864-8140
Mailing address
3D S COMMONS, LINCOLN, MA 01773-1114
(857) 998-1147
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
119823
MA
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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