Individual
ANTHNONY VINCENT LUPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW,LSW
Contact information
Practice address
539 CENTER ST, BETHLEHEM, PA 18018-5910
(484) 896-9161
(484) 251-5150
Mailing address
3158 SANTEE RD, BETHLEHEM, PA 18020-2850
(484) 544-9488
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW140681
PA
Other
Enumeration date
10/01/2024
Last updated
10/14/2024
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