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1942967518
KANAN CUPP
LONG BEACH, CA
NPI
1942967518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 97160)
Enumeration Date
2021-11-18
Last Update Date
2021-11-18
Business Address
KANAN CUPP LCSW
6060 N PARAMOUNT BLVD
LONG BEACH, CA 90805-3711
Phone number: 562-634-9534
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Mailing Address
KANAN CUPP LCSW
6060 N PARAMOUNT BLVD
LONG BEACH, CA 90805-3711
Phone number: 562-634-9534
Copy
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