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1912246760
PAMELA SUSAN KOPPEL
SANTA ROSA, CA
NPI
1912246760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS19176)
Enumeration Date
2013-02-13
Last Update Date
2013-02-13
Business Address
-- PAMELA SUSAN KOPPEL LCSW
175 CONCOURSE BLVD
SANTA ROSA, CA 95403-8217
Phone number: 707-284-9235
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Mailing Address
-- PAMELA SUSAN KOPPEL LCSW
7613 WASHINGTON AVE
SEBASTOPOL, CA 95472-3625
Phone number: 707-799-2203
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