Elizabeth Fort Copeland CSW

NPI 1073674008 - Social Worker - 104100000X

NPI Details
NPI 1073674008
Gender Female
Enumeration Date 12/13/2006
Last Updated 08/28/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
243 CURTISS RD
SUITE 100
BARKSDALE AFB LA, 71110-2425, US
Phone (318) 456-6595
Fax
Business Location
243 CURTISS RD
SUITE 100
BARKSDALE AFB LA, 71110-2425, US
Phone (318) 456-6595
Fax
Toxanomy
Taxonomy Code 104100000X
License State Kentucky
License Number 4655
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According to our database, Elizabeth Fort Copeland CSW NPI is 1073674008, taxonomy code is 104100000X and license number is 4655, license state is located at Kentucky. Elizabeth Fort Copeland CSW physically located at 243 Curtiss Rd, Barksdale Afb LA, 71110-2425. NPI Number Elizabeth Fort Copeland CSW has the Individual type.

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1073674008 NPI number is provided on an as is basis without warranty of any kind. 1073674008 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth Fort Copeland CSW are for informational purposes only.