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Individual
MS. KATHI L KOPACZ
Active
Individual
MS. KATHI L KOPACZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04259
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216631300
—
MD
Enumeration date
08/18/2006
Last updated
09/10/2008
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