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Organization
COPELAND AVE COUNSELING LCSW PLLC
Active
Organization
COPELAND AVE COUNSELING LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT B. SLATER LCSW (OWER)
(607) 753-1611
Entity
Organization
Contact information
Practice address
24 COPELAND AVE, HOMER, NY 13077-1529
(607) 749-5711
Mailing address
24 COPELAND AVE, HOMER, NY 13077-1529
(607) 749-5711
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/07/2009
Last updated
03/16/2011
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