Individual
DR. CLARK KOPELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, ED.S., PH.D.
Contact information
Practice address
1590 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3793
(319) 331-7314
Mailing address
1590 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3793
(319) 331-7314
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1149310
IL
Other
Enumeration date
06/01/2024
Last updated
06/01/2024
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