Individual
ANNISE KOOPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
186 S RIVER AVE STE 5, HOLLAND, MI 49423-2848
(616) 377-4899
Mailing address
186 S RIVER AVE STE 5, HOLLAND, MI 49423-2848
(616) 377-4899
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801102078
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801102078
STATE OF MICHIGAN- DEPARTMENT OF LICENSING/REGULATORY AFFAIRS
MI
Enumeration date
11/12/2018
Last updated
11/12/2018
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