Individual
MISS MELISSA ANN KOPACZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
803 PINE ST, TALLAHASSEE, FL 32303-6433
(850) 921-0330
(850) 921-0283
Mailing address
803 PINE STREET, TALLAHASSEE, FL 32303
(850) 921-0330
(850) 921-0283
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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