Individual
MRS. DIANE S. KOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W
Contact information
Practice address
375 JACKSON AVE, SUITE 1 NORTH, SAINT LOUIS, MO 63130-4243
(314) 721-2134
(314) 721-2171
Mailing address
375 JACKSON AVE, SUITE 1 NORTH, SAINT LOUIS, MO 63130-4243
(314) 721-2134
(314) 721-2171
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001905
MO
Other
Enumeration date
05/07/2007
Last updated
03/11/2011
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