Individual
DONNA LEE LIPTAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LADC-I, CADC
Contact information
Practice address
78 PEQUOT POINT RD, WESTFIELD, MA 01085-5114
(413) 203-5308
Mailing address
78 PEQUOT POINT RD, WESTFIELD, MA 01085-5114
(413) 203-5308
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1029118-SW-LICSW
MA
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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