Individual
MR. JACOB CHRISTOPHER KOPACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LSW
Contact information
Practice address
1167 MANTUA PIKE, WEST DEPTFORD, NJ 08051-1649
(856) 292-5760
Mailing address
1167 MANTUA PIKE, WEST DEPTFORD, NJ 08051-1649
(856) 292-5760
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07174200
NJ
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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