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1891259222
MARISSA KOUPF
ALBUQUERQUE, NM
NPI
1891259222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM C-11833)
Enumeration Date
2019-01-30
Last Update Date
2023-10-16
Business Address
MARISSA KOUPF LCSW
4710 JEFFERSON ST NE STE A
ALBUQUERQUE, NM 87109-2156
Phone number: 505-955-9454
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Mailing Address
MARISSA KOUPF LCSW
PO BOX 6880
SANTA FE, NM 87502-6880
Phone number: 505-216-0332
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