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1376281600
JODY M KOPPANG
WEST LINN, OR
NPI
1376281600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: OR C6667)
Enumeration Date
2022-05-26
Last Update Date
2022-05-26
Business Address
JODY M KOPPANG LPC
22195 CHELAN LOOP
WEST LINN, OR 97068-8207
Phone number: 503-989-7664
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Mailing Address
JODY M KOPPANG LPC
22195 CHELAN LOOP
WEST LINN, OR 97068-8207
Phone number: 503-989-7664
Copy
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