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1265615843
BRENT A. CUPP
TACOMA, WA
NPI
1265615843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-12-06
Last Update Date
2007-12-06
Business Address
Mr. BRENT A. CUPP MSW
514 S 13TH ST
TACOMA, WA 98402-1908
Phone number: 253-396-5000
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Mailing Address
Mr. BRENT A. CUPP MSW
245 TACOMA AVE S #103
TACOMA, WA 98402-2500
Phone number: 360-580-1938
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