Provider Information for 1447253174
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Ms. JENNIFER E KOPECKY LCSW
Sex: Female
NPI: 1447253174
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1447253174 | ||||||||
| Enumeration Date | 2005-05-27 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2718 SAFE HARBOUR CIR FRIENDSWOOD, TX 77546-7414 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 18333 EGRET BAY BLVD STE 270 HOUSTON, TX 77058-6400 United States Phone: 281-996-8373 | Fax: | ||||||||
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