Full Cup Llc | |
6 Lynde St Ste Ll-c Salem MA 01970-3404 | |
(857) 293-1447 | |
Not Available |
Full Name | Full Cup Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 6 Lynde St Ste Ll-c, Salem, Massachusetts |
Authorized Official Name and Position | Jessica Rousselle (MANAGER) |
Authorized Official Contact | 8572931447 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Full Cup Llc 6 Lynde St Ste Ll-c Salem MA 01970-3404 Ph: () - | Full Cup Llc 6 Lynde St Ste Ll-c Salem MA 01970-3404 Ph: (857) 293-1447 |
NPI Number | 1053000232 |
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Provider Enumeration Date | 05/03/2023 |
Last Update Date | 05/03/2023 |
Certification Date | 05/03/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053000232 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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