Individual
HILDEGARD KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 COLLINS RD, JEFFERSON, WI 53549-2939
(920) 674-6077
Mailing address
2489 S COON ISLAND RD, ORFORDVILLE, WI 53576-9586
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2525-154
WI
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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