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Individual

MS. LILY KOPPEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
7840 WASHINGTON AVE, KANSAS CITY, KS 66112-2152
(913) 956-6500
Mailing address
7840 WASHINGTON AVE, KANSAS CITY, KS 66112-2152
(913) 956-6500

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12211
KS
104100000X
Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100098080A
KS
Enumeration date
06/16/2021
Last updated
06/28/2021
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