Individual
MRS. JUDITH F. KOEPPL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACSW, CICSW
Contact information
Practice address
4123 MONONA DRIVE, MADISON, WI 53593
(608) 258-7771
(608) 832-6486
Mailing address
4123 MONONA DRIVE, MADISON, WI 53593
(608) 258-7771
(608) 832-6486
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1842 123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40980200
—
WI
Enumeration date
04/14/2008
Last updated
04/14/2008
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