Individual
HEIDEMARIE KOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81-6161 D ROAD, CAPTAIN COOK, HI 96704
(808) 987-2296
Mailing address
75-5744 ALII DR 237, KAILUA KONA, HI 96740-1740
(808) 987-2296
(877) 585-5099
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW - 3268
HI
Other
Enumeration date
04/25/2008
Last updated
11/04/2015
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