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NPI Code Detail

MEDICARE: ELEANOR DODSON-KASPER LCSW

MEDICARE:   ELEANOR  DODSON-KASPER  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker010974CT

General Provider Information

NPI Number : 1073749578
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELEANOR DODSON-KASPER LCSW
Provider Business Mailing Address
First Line : 276 BANK ST
Second Line :
City : SEYMOUR
State : CT
Zip : 06483-2700
Country : US
Telephone Number : 413-941-1632
Fax Number :
Provider Business Practice Location Address
First Line : 276 BANK ST
Second Line :
City : SEYMOUR
State : CT
Zip : 06483-2700
Country : US
Telephone Number : 203-941-1632
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2009
Last Update Date : 01/25/2025

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Directions to “ ELEANOR DODSON-KASPER LCSW” Practice Location

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