Individual
BRUNA MEDEIROS LUPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14135 N CEDARBURG RD, MEQUON, WI 53097-1416
(407) 906-7301
Mailing address
14135 N CEDARBURG RD, MEQUON, WI 53097-1416
(407) 906-7301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH22195
FL
Other
Enumeration date
09/28/2017
Last updated
06/30/2025
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