Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | SW129879 | PA |
NPI | 1003428749 |
---|---|
Provider Name | Danielle Rupp |
First Address | Kennett Sq, PA 19348-0395 |
Second Address | Kennett Square, PA 19348-3250 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2020 |
Last Update Date | 22/08/2020 |