Provider Demographics
NPI:1922150069
Name:DUPONT, MARCH F (ACSW LICSW DCSW)
Entity Type:Individual
Prefix:MS
First Name:MARCH
Middle Name:F
Last Name:DUPONT
Suffix:
Gender:F
Credentials:ACSW LICSW DCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:POST OFFICE POX TWENTY
Mailing Address - Street 2:
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649
Mailing Address - Country:US
Mailing Address - Phone:508-477-3411
Mailing Address - Fax:508-477-6708
Practice Address - Street 1:14 SHIPS LANTERN DRIVE
Practice Address - Street 2:
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649
Practice Address - Country:US
Practice Address - Phone:508-477-3411
Practice Address - Fax:508-477-6708
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1010801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
P02221OtherBC BS
P02221OtherBC BS