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Individual

BUPE KAPANSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
70 N MCCLINTOCK DR STE 4, CHANDLER, AZ 85226-3711
(855) 501-1004
(480) 464-2338
Mailing address
3835 N FREEWAY BLVD STE 100, SACRAMENTO, CA 95834-1954
(916) 576-7900

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LCSW-22251
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-22251
AZ

Other

Enumeration date
04/20/2022
Last updated
09/26/2024
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