Individual
STEPHANIE KOOPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2805 BLAINE ST, STE 120, CALDWELL, ID 83605-4599
(208) 459-4412
(208) 454-7296
Mailing address
2965 E TARPON DR, SUITE 150, MERIDIAN, ID 83642-9009
(208) 287-9420
(208) 287-9426
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-33224
ID
Other
Enumeration date
10/31/2013
Last updated
10/31/2013
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