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Individual

DAVID RUPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
913 W WELLINGTON AVE, FLOOR 2, CHICAGO, IL 60657
(872) 843-0200
Mailing address
913 W WELLINGTON AVE, FLOOR 2, CHICAGO, IL 60657
(872) 843-0200
(872) 843-9000

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149023670
IL

Other

Enumeration date
09/17/2021
Last updated
09/17/2021
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