Individual
NICOLE KOPACZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 HANOVER ST STE 5, MANCHESTER, NH 03104-6138
(603) 505-8133
Mailing address
84 W BROADWAY STE 200, DERRY, NH 03038-2323
(603) 505-8133
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
124667
MA
1041C0700X
Clinical Social Worker
221574
MA
1041C0700X
Clinical Social Worker
Primary
2762
NH
Other
Enumeration date
07/27/2021
Last updated
09/21/2022
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