Individual
JEREMY JON LOPUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20016 MULBERRY ST, CORNELIUS, NC 28031-8465
(704) 560-1202
Mailing address
20016 MULBERRY ST, CORNELIUS, NC 28031-8465
(704) 560-1202
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NC
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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