Individual
ANNA MARIE KOOPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
478 N 60 W, SMITHFIELD, UT 84335-1233
(208) 569-0166
Mailing address
879 S 250 E APT 93, SMITHFIELD, UT 84335-4732
(208) 569-0166
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11529729-3501
UT
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/11/2019
Last updated
09/13/2024
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