Individual
MISS HEATHER MARIE LUPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-C
Contact information
Practice address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(928) 776-6134
Mailing address
8145 N SAGE VIS, PRESCOTT VALLEY, AZ 86315-9040
(928) 775-2161
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12220
MD
Other
Enumeration date
08/02/2006
Last updated
09/02/2010
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