Individual
REBECCA LYNN CRUM KOPPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4065 N 35TH ST, MILWAUKEE, WI 53216-1705
(414) 445-9180
Mailing address
4065 N 35TH ST, MILWAUKEE, WI 53216-1705
(414) 445-9180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8293-123
WI
171M00000X
Case Manager/Care Coordinator
128141121
WI
Other
Enumeration date
10/18/2012
Last updated
08/27/2015
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