Individual
HEIDI TUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1330 PAGE DR S STE 102A, FARGO, ND 58103-3562
(701) 478-6604
Mailing address
5 N TERRACE N, FARGO, ND 58102-3815
(701) 870-2677
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4821
ND
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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