Individual
MARY KOPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 E SHELBY STREET, JUNCTION CITY, KY 40440
(859) 325-5545
Mailing address
131 ALLYSON CIR, JUNCTION CITY, KY 40440-9041
(859) 494-8590
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
262044
KY
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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