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Individual
DESI ALONZO COPELAND
Active
Individual
DESI ALONZO COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW SOCIAL WORK LLC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6851117053
MI
104100000X
Social Worker
6851117053
MI
Other
Enumeration date
09/01/2023
Last updated
09/26/2024
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