Individual
CASEY LUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W CEDAR ST, STANDISH, MI 48658-9421
(989) 895-2300
Mailing address
1000 W CEDAR ST, STANDISH, MI 48658-9421
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801098198
MI
Other
Enumeration date
11/01/2016
Last updated
07/02/2020
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