Individual
COURTNEY R SUPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LCSW
Contact information
Practice address
51 OLD LYMAN RD, SOUTH HADLEY, MA 01075-2663
(413) 564-9617
Mailing address
51 OLD LYMAN RD, SOUTH HADLEY, MA 01075-2663
(413) 564-9617
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW230364
MA
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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