Seth Elliot Tupper, LICSW

NPI #1306271713 in Crystal, Minnesota

Provider Information

NPI Number: 1306271713
Entity Type: Individual
Name: Seth Elliot Tupper, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Sep 5, 2013
Last Updated: Sep 5, 2013

Practice Location

Address: 5108 LAKESIDE AVE N
City: Crystal
State: Minnesota
ZIP Code: 55429-3734
Phone: (651) 503-5780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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