SETH ELLIOT TUPPER

CRYSTAL, MN
NPI1306271713
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  19255)
Enumeration Date2013-09-05
Last Update Date2013-09-05
Business Address
-- SETH ELLIOT TUPPER LICSW
5108 LAKESIDE AVE N
CRYSTAL, MN 55429-3734
Phone number: 651-503-5780
Mailing Address
-- SETH ELLIOT TUPPER LICSW
5108 LAKESIDE AVE N
CRYSTAL, MN 55429-3734
Phone number: 651-503-5780