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Allegra Leellen Koupal

Case Manager/Care Coordinator in Vancouver, WA. Individual provider (NPI-1).

NPI number1033636618
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1033636618
Entity type
Individual (NPI-1)
Name
Allegra Leellen Koupal
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 24, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
104100000X Social Worker––

Practice location

9300 Ne Oak View Dr
Vancouver, WA 98662-6157

Phone 360-567-2211 · Fax 360-567-2212

Mailing address

9300 Ne Oak View Dr
Vancouver, WA 98662-6157

Phone 360-567-2211 · Fax 360-567-2212

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