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NPI Code Detail

MEDICARE: JUDITH MCCRONE COPLEY LICSW

MEDICARE:   JUDITH MCCRONE COPLEY  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
11041C0700XClinical Social Worker1021875MA

General Provider Information

NPI Number : 1962784959
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDITH MCCRONE COPLEY LICSW
Provider Business Mailing Address
First Line : 2 LONGVIEW DR
Second Line :
City : NORTH EASTON
State : MA
Zip : 02356-2532
Country : US
Telephone Number : 508-238-0797
Fax Number : 815-642-9633
Provider Business Practice Location Address
First Line : 2 LONGVIEW DR
Second Line :
City : NORTH EASTON
State : MA
Zip : 02356-2532
Country : US
Telephone Number : 508-238-0797
Fax Number : 815-642-9633
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2011
Last Update Date : 09/15/2011

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Directions to “ JUDITH MCCRONE COPLEY LICSW” Practice Location

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