Individual
DEBRA KOEPELE KUPTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
42627 GARFIELD RD, SUITE 214, CLINTON TOWNSHIP, MI 48038-5032
(586) 228-5345
(586) 228-5393
Mailing address
37497 CHARTER OAKS BLVD, CLINTON TOWNSHIP, MI 48036-2415
(734) 673-7618
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2806
CERTIFICATION BOARD FOR MUSIC THERAPISTS
—
Enumeration date
01/21/2009
Last updated
02/17/2009
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