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Individual

MRS. MARY ERIN KOPREVICH

Active
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Individual

MRS. MARY ERIN KOPREVICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRC, LCSW-R

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
058006
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000 2731 6601
UNIVERA
NY
01
—
000 528 268 001
BC BS OF WNY
NY
05
—
02247661
—
NY
01
—
213352471
UNITED BEHAVIORAL HEALTH
NY
01
—
6213037
INDEPENDENT HEALTH
NY
Enumeration date
07/02/2005
Last updated
10/14/2009
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