Individual
MS. NANCY L KOPPEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3171 N MERIDIAN ST, INDIANAPOLIS, IN 46208-4784
(317) 941-5010
Mailing address
7823 SUNSET LN, INDIANAPOLIS, IN 46260-3575
(317) 255-9711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3400762A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34000762A
CERTFIED CLINICAL SOCIAL
IN
Enumeration date
03/20/2007
Last updated
07/08/2007
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