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Individual

MR. AINSLIE KARL KOPPERUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.ED, MSW

Contact information

Practice address
12401 E 17TH AVE, AURORA, CO 80045-2548
(720) 514-3730
Mailing address
12401 E 17TH AVE, AURORA, CO 80045-2548
(720) 514-3730

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09925457
CO

Other

Enumeration date
03/12/2010
Last updated
01/25/2024
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