MEDICARE: AIMEE DUPRE LICSW

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
1	1041C0700X	Clinical Social Worker	ISW02330	RI
2	1041C0700X	Clinical Social Worker	127073	MA

General Provider Information

NPI Number	:	1316250400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIMEE DUPRE LICSW

Provider Business Mailing Address
First Line	:	25 BIRCH ST STE 204
Second Line	:
City	:	MILFORD
State	:	MA
Zip	:	01757-3585
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 BIRCH ST STE 204
Second Line	:
City	:	MILFORD
State	:	MA
Zip	:	01757-3585
Country	:	US
Telephone Number	:	508-568-1924
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2010
Last Update Date	:	10/11/2023

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