Individual
DR. MICHAEL DEE KOPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2230 N UNIVERSITY PKWY, SUITE 1A, PROVO, UT 84604-1509
(801) 377-3413
(801) 655-1890
Mailing address
2230 N UNIVERSITY PKWY, SUITE 1A, PROVO, UT 84604-1509
(801) 377-3413
(801) 655-1890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
120846-3501
UT
Other
Enumeration date
04/04/2007
Last updated
07/12/2011
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