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Deborah Dianne Kupres

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as DEBORAH KUPRES.

Based on the most recent information from CMS, provider Deborah Dianne Kupres is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1861008955
Provider Type
Individual
Full Name
Kupres, Deborah Dianne
Credential
LMSW

Gender
Female
Sole Proprietor
No
Enumeration Date
9/23/2020
Last Updated
9/23/2024

Contact Information

Practice Location

540 Jenner Dr, Allegan, MI 49010-1517

(269) 673-6617

Unlisted Fax

Mailing Location

540 Jenner Dr, Allegan, MI 49010-1517

(269) 673-6617

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801117438 Michigan
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License 6801107297 Michigan

Deborah Dianne Kupres

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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