Organization
DAVID A. PUPA, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A. PUPA LCSW (OWNER)
(732) 256-4940
Entity
Organization
Contact information
Practice address
2164 HIGHWAY 35 BLDG B, SUITE 6, SEA GIRT, NJ 08750-1013
(732) 256-4940
Mailing address
2164 HIGHWAY 35 BLDG B, SUITE 6, SEA GIRT, NJ 08750-1013
(732) 256-4940
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05335400
NJ
Other
Enumeration date
04/12/2012
Last updated
05/09/2012
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