Individual
MRS. MICHELLE DIANNE TUPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1995 HIGHWAY 62 412, HIGHLAND, AR 72542-9262
(870) 257-0033
Mailing address
1627 HIGHWAY 62 412, HIGHLAND, AR 72542-9540
(870) 856-3275
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10101-C
AR
Other
Enumeration date
07/14/2020
Last updated
04/17/2023
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