Individual
MS. EVELYN KOPPEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
1510 BLACKWOOD CLEMENTON RD, BLACKWOOD, NJ 08012-4626
(856) 401-0557
(610) 664-1007
Mailing address
110 PENCOYO AVE, BALA CYNWYD, PA 19004
(856) 401-0557
(610) 664-1007
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC00378
NJ
Other
Enumeration date
10/28/2005
Last updated
07/08/2007
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