Individual
MRS. LORI R KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
616 HELENA AVE, SUITE 305, HELENA, MT 59601-3654
(406) 449-3120
(406) 449-3125
Mailing address
6502 SILVERWOOD LOOP, HELENA, MT 59602-7937
(406) 458-7018
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0502299
—
MT
Enumeration date
01/05/2007
Last updated
07/09/2007
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