Individual
MR. KERRY JOHN SOPOCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
220 N 6TH AVE E, DULUTH, MN 55805-1952
(218) 249-7000
Mailing address
220 N 6TH AVE E, DULUTH, MN 55805-1952
(218) 249-7000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LP4446
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
797625900
—
MN
Enumeration date
05/11/2006
Last updated
01/19/2021
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