Organization
LARRY RUPP, MSW, LCSW, COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY L RUPP MSW, LCSW (PRESIDENT)
(574) 262-1088
Entity
Organization
Contact information
Practice address
3040A WINDSOR CT, ELKHART, IN 46514-5555
(574) 262-1088
(574) 262-9516
Mailing address
3040A WINDSOR CT, ELKHART, IN 46514-5555
(574) 262-1088
(574) 262-9516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004488A
IN
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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