Rebecca Louise Staples, BSW
Student in an Organized Health Care Education/Training Program in Worcester, MA. Individual provider (NPI-1).
NPI number1124366117
StatusActive
Last updated in NPPESJan 25, 2013
Details
- NPI
- 1124366117
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Louise Staples
- Credential
- BSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 25, 2013
- Last updated
- Jan 25, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | S30440697 | MA | Yes |
Practice location
172 Lincoln StWorcester, MA 01605-3750
Phone 508-770-0511
Mailing address
253 Wood StWoodville, MA 01784
Phone 508-435-4618
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