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Seth Tupper, LICSW
NPI 1306271713 · on the registry since 2013
Practice
- Address
- 5108 Lakeside Ave N
Crystal, MN 55429 - Phone
- (651) 503-5780
- Fax
- (763) 271-2707
- Organisation at this address
- Edify Youth
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-09-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota