Individual
EDMOND OPPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
29 MAIN ST, LEOMINSTER, MA 01453-5546
(978) 786-9446
Mailing address
104 UPLAND ST, WORCESTER, MA 01607-1811
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
LCSW229113
MA
Other
Enumeration date
11/08/2022
Last updated
05/18/2023
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