Individual
MISS DEANNA COLETTE CUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LGSW
Contact information
Practice address
14 S BROADWAY, BALTIMORE, MD 21231-1712
(410) 276-1773
(410) 276-2056
Mailing address
14 S BROADWAY, BALTIMORE, MD 21231-1712
(410) 276-1773
(410) 276-2056
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21882
MD
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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