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Amy Cupp, LSW

Social Worker in Fort Wayne, IN. Individual provider (NPI-1).

NPI number1124496567
StatusActive
Last updated in NPPESSep 2, 2015

Details

NPI
1124496567
Entity type
Individual (NPI-1)
Name
Amy Cupp
Credential
LSW
Sex
Female
Sole proprietor
No
Enumeration date
Sep 2, 2015
Last updated
Sep 2, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker33004894AINYes

Practice location

909 E State Blvd
Fort Wayne, IN 46805-3404

Phone 260-481-2700 · Fax 260-481-2709

Mailing address

909 E State Blvd
Fort Wayne, IN 46805-3404

Phone 260-481-2700 · Fax 260-481-2709

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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