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Organization
GARY HUPP PHD LCSW AND ASSOCIATES INC
Active
Organization
GARY HUPP PHD LCSW AND ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORIN WALKER (BILLER)
(775) 544-0790
Entity
Organization
Contact information
Practice address
735 SUNRISE AVE STE 130, ROSEVILLE, CA 95661-4596
(916) 784-1771
Mailing address
735 SUNRISE AVE STE 130, ROSEVILLE, CA 95661-4596
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
02/17/2020
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