Individual
CHALICE M KOPACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, MPA
Contact information
Practice address
4020 COPPER VW STE 104, TRAVERSE CITY, MI 49684
(231) 421-6921
(231) 421-7852
Mailing address
3785 BAY RD, SAGINAW, MI 48603-2433
(989) 791-2455
(989) 791-1392
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801090700
MI
Other
Enumeration date
04/10/2014
Last updated
09/06/2018
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