Individual
ZULLY SOLEDAD SHUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1430 WILKINS CIR, CASPER, WY 82601-1336
(307) 237-9583
Mailing address
1430 WILKINS CIR, CASPER, WY 82601-1336
(307) 237-9583
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
327074-3501
UT
1041C0700X
Clinical Social Worker
Primary
LCSW-842
WY
Other
Enumeration date
07/26/2012
Last updated
01/04/2016
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