Individual
BREONNA NICOLE COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8877 LAKES AT 610 DR APT 270, HOUSTON, TX 77054-2579
(254) 289-2843
Mailing address
8877 LAKES AT 610 DR APT 270, HOUSTON, TX 77054-2579
(254) 289-2843
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
66048
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41021054
MICHAEL E DEBAKEY VETERAN'S AFFAIRS HOSPITAL
TX
Enumeration date
02/07/2019
Last updated
02/07/2019
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