Individual
STEPHANIE RENAE KOPLITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 VETERANS AVE, BLDG 1 ROOM 2A101, BILOXI, MS 39531-2410
(228) 523-4688
Mailing address
400 VETERANS AVE, BLDG 1 ROOM 2A101, BILOXI, MS 39531-2410
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M5929
MS
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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