Individual
MINAMARIA KOPLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
5965 S 900 E, SUITE 310, SALT LAKE CITY, UT 84121-1720
(801) 680-5717
Mailing address
12142 WOODRIDGE RD, SANDY, UT 84094-5751
(801) 545-0389
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4807615-3502
UT
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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