Individual
CAMERON KOPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 SUMMER ST STE 202, TAUNTON, MA 02780-3469
(508) 828-1304
Mailing address
96 CATO ST, WOONSOCKET, RI 02895-3051
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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