Individual
JESSICA CUPANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
401 PENN AVE, SCRANTON, PA 18503-1213
(570) 961-4300
Mailing address
646 S MAIN ST, OLD FORGE, PA 18518-1544
(570) 417-1749
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW020844
PA
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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