Individual
MR. PETER KOPCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5151 MATTIS RD STE C, SAINT LOUIS, MO 63128-2796
(314) 952-2947
Mailing address
4542 MATTIS RD, SAINT LOUIS, MO 63128-3072
(314) 952-2947
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2020042680
MO
Other
Enumeration date
01/18/2021
Last updated
02/24/2021
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