KIM COPPOLA

RIDGEWOOD, NJ
NPI1861869315
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MD  24174)
Additional Taxonomies104100000X Social Worker
(Licence: NJ  44SL06112300)
Enumeration Date2015-08-31
Last Update Date2019-09-25
Business Address
KIM COPPOLA LCSW, MSW
589 FRANKLIN TPKE 2ND FLOOR
RIDGEWOOD, NJ 07450-1989
Phone number: 845-624-2994
Mailing Address
KIM COPPOLA LCSW, MSW
810 TOLL HOUSE AVE
FREDERICK, MD 21701-4519
Phone number: