Individual
COLLEEN KAY CHUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1685 BALDWIN AVE STE 100, PONTIAC, MI 48340-1242
(248) 475-6400
Mailing address
1685 BALDWIN AVE STE 100, PONTIAC, MI 48340-1242
(248) 475-6400
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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