Organization
FILL YOUR CUPP THERAPY LLC
Active
Other names
Fill Your Cupp Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ANA R CUPP (LICENSED CLINICAL SOCIAL WORKER)
(971) 329-9568
Entity
Organization
Contact information
Practice address
14087 SW SPRINGBROOK LN, TIGARD, OR 97223-2026
(971) 329-9568
Mailing address
16200 SW PACIFIC HWY STE H, TIGARD, OR 97224-3471
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/19/2024
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