Individual
MEAGAN AMELIA LUPTAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
25 E JACKSON ST, OSWEGO, IL 60543-8696
(630) 465-0211
Mailing address
25 E JACKSON ST, OSWEGO, IL 60543-8696
(630) 465-0211
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150108481
IL
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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