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Amber Denise Czupik, LISW

Social Worker, Clinical in Wooster, OH. Individual provider (NPI-1).

NPI number1982137675
StatusActive
Last updated in NPPESNov 3, 2023

Details

NPI
1982137675
Entity type
Individual (NPI-1)
Name
Amber Denise Czupik
Credential
LISW
Sex
Female
Sole proprietor
No
Enumeration date
Apr 10, 2017
Certification date
Jun 13, 2023
Last updated
Nov 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalI.2304937OHYes
104100000X Social Worker1510369-TRNEOH

Practice location

104 Spink St
Wooster, OH 44691-3652

Phone 330-264-8498

Mailing address

1004 W Church St
Orrville, OH 44667-1439

Phone 330-234-0266

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