Individual
SARAH M CUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW, LMSW
Contact information
Practice address
807 IMPALA DR, MEDFORD, WI 54451-1206
(715) 748-0251
Mailing address
PO BOX 29, MEDFORD, WI 54451-0029
(715) 748-0251
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
132094-121
WI
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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