Most Relevant Information
Provider Data
| NPI Number: | 1003536681 |
| Provider Name: | JESSICA RENEE-YI WARPUP LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 6801112376 |
Most Important Dates
| Enumeration Date: | 09/01/2022 |
| Last Updated: | 09/01/2022 |
Provider Practice Location
735 S. GARFIFELD AVE.
SUITE 200
TRAVERSE CITY
MI
496863471
Practice Location Phone/Fax
| Phone: | 2316206017 |
| Fax: |
Provider Mailing Location
1696 FOREST RIDGE DR
TRAVERSE CITY
MI
496864795
Provider Mailing Phone/Fax
| Phone: | 2316206017 |
| Fax: |