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Individual
MARY THERESA ZUPAN
Active
Individual
MARY THERESA ZUPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1601163
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S.1601163
LICENSURE BOARD
OH
Enumeration date
11/01/2017
Last updated
07/05/2022
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