Individual
MR. RANDY EDWARD DUPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
44 FRONT ST STE 490, WORCESTER, MA 01608-1742
(508) 799-2934
Mailing address
44 FRONT ST STE 490, WORCESTER, MA 01608-1742
(508) 799-2934
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1455AD
MA
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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