Desiree Patience Nicole Chupp

NPI #1003459595 in Booneville, Mississippi

Provider Information

NPI Number: 1003459595
Entity Type: Individual
Name: Desiree Patience Nicole Chupp
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Oct 28, 2019
Last Updated: Oct 28, 2019

Practice Location

Address: 609 E CHURCH ST
City: Booneville
State: Mississippi
ZIP Code: 38829-3711
Phone: (662) 728-2488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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