Individual
NANCY COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
11 S MAIN ST, RANDOLPH, VT 05060-1330
(802) 728-4466
(802) 728-4197
Mailing address
79 POUT POND LN, LYME, NH 03768-3709
(603) 795-2509
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000270
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN1855
—
VT
01
—
2025470
CIGNA
VT
01
—
39070
BLUE CROSS
VT
Enumeration date
10/03/2006
Last updated
07/08/2007
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