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Organization
TUPA THERAPY PLLC
Active
Organization
TUPA THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI TUPA LCSW (LICENSED CLINICAL SOCIAL WORKER)
(701) 870-2677
Entity
Organization
Contact information
Practice address
1330 PAGE DR S, FARGO, ND 58103-3500
(701) 478-6604
Mailing address
1330 PAGE DR S, FARGO, ND 58103-3500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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