Individual
MRS. JAMIE NICOLE KOEPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10045 W LISBON AVE, WAUWATOSA, WI 53222-2446
(414) 550-1065
Mailing address
10045 W LISBON AVE, WAUWATOSA, WI 53222-2446
(414) 550-1065
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6084-125
WI
Other
Enumeration date
08/23/2013
Last updated
03/02/2023
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