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Individual

ELIZABETH GRACE CHUPA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
4785 MEMPHIS AVE, CLEVELAND, OH 44144-1916
(937) 243-6560
Mailing address
4785 MEMPHIS AVE, CLEVELAND, OH 44144-1916
(216) 563-1180
(440) 815-2245

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.700212
OH

Other

Enumeration date
11/01/2017
Last updated
09/29/2021
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