Full Cup LLC
NPI #1053000232 in Salem, Massachusetts
Provider Information
- NPI Number
- 1053000232
- Entity Type
- Organization
- Organization Name
- Full Cup LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- May 3, 2023
- Last Updated
- May 3, 2023
Practice Location
- Address
- 6 LYNDE ST STE LL-C
- City
- Salem
- State
- Massachusetts
- ZIP Code
- 01970-3404
- Phone
- (857) 293-1447
Authorized Official
- Name
- JESSICA ROUSSELLE, LICSW
- Title
- MANAGER
- Phone
- (857) 293-1447
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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