MR. Larry L Rupp, MSW, LCSW

NPI #1114990603 in Elkhart, Indiana

Provider Information

NPI Number
1114990603
Entity Type
Individual
Name
MR. Larry L Rupp, MSW, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
MSW, LCSW
Enumeration Date
Feb 7, 2006
Last Updated
Jun 30, 2008

Practice Location

Address
3040A WINDSOR CT
State
Indiana
ZIP Code
46514-5555
Phone
(574) 262-1088

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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