Individual
KARLA OLDS SCHUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
818 S BROADWAY, WATERTOWN, SD 57201-4861
(231) 818-0348
Mailing address
201 4TH AVE SE, CLARK, SD 57225-1718
(231) 420-0536
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4954
SD
1041C0700X
Clinical Social Worker
801085901
MI
1041C0700X
Clinical Social Worker
8408163-3501
UT
Other
Enumeration date
02/06/2013
Last updated
11/11/2022
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