Individual
MR. IAN MITCHELL KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
435 UNIVERSITY AVE E, SAINT PAUL, MN 55130-4495
(651) 789-7634
(651) 225-0882
Mailing address
435 UNIVERSITY AVE E, SAINT PAUL, MN 55130-4495
(651) 789-7634
(651) 225-0882
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29816
MN
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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