Individual
KATIE BUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 N NYES RD, SUITE A, HARRISBURG, PA 17112-3247
(717) 657-4040
Mailing address
121 N NYES RD, SUITE A, HARRISBURG, PA 17112-3247
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW131049
PA
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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