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Individual

DESTINY COPPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW U/S

Contact information

Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-3112
Mailing address
425 BEEBE ST, JONES, OK 73049-7518

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
08/23/2022
Last updated
11/12/2024
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Product
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