Individual
EVAN CUPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT-BC
Contact information
Practice address
60 MIDVALE ROAD, MOUNTAIN LAKES, NJ 07046
(973) 588-5557
Mailing address
60 MIDVALE RD STE 210, MOUNTAIN LAKES, NJ 07046-1309
(973) 588-5557
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
13598
NJ
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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