Provider Demographics
NPI:1255579959
Name:DUPLESSIS, GISELE MARIE (MSW, LICSW)
Entity type:Individual
Prefix:MRS
First Name:GISELE
Middle Name:MARIE
Last Name:DUPLESSIS
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STURBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01566-1556
Mailing Address - Country:US
Mailing Address - Phone:774-757-7341
Mailing Address - Fax:508-519-0799
Practice Address - Street 1:128 MAIN ST
Practice Address - Street 2:
Practice Address - City:STURBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01566
Practice Address - Country:US
Practice Address - Phone:774-757-7341
Practice Address - Fax:508-519-0799
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-03
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10300321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical