Individual
JACKI CAPPONCELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10 BRIDGE ST, LOWELL, MA 01852-1268
(978) 453-5736
Mailing address
10 BRIDGE ST, LOWELL, MA 01852-1268
(978) 453-5736
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
000225806
MA
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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