Individual
KELLY ANN KOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3313 BELGREEN RD, PHILADELPHIA, PA 19154-1445
(215) 760-7570
Mailing address
3313 BELGREEN RD, PHILADELPHIA, PA 19154-1445
(215) 760-7570
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW124709
PA
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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