Individual
VICKY COPPENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAPSW
Contact information
Practice address
300 CROOKS STREET, GREEN BAY, WI 54301
(920) 436-6800
(920) 437-3540
Mailing address
PO BOX 22308, 300 CROOKS STREET, GREEN BAY, WI 54305-2308
(920) 436-6800
(920) 437-3540
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
127013
WI
1041C0700X
Clinical Social Worker
Primary
7810
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43745900
—
WI
Enumeration date
10/04/2006
Last updated
06/11/2025
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