Individual
MARY ELIZABETH KOPSOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
120 DARTMOUTH DR SE APT D, ALBUQUERQUE, NM 87106-2261
(505) 333-9042
(505) 796-5475
Mailing address
120 DARTMOUTH DR SE APT D, ALBUQUERQUE, NM 87106-2261
(505) 333-9042
(505) 796-5475
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
59040
TX
104100000X
Social Worker
Primary
SWB-2024-0152
NM
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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