Individual
MR. ALLAN COPENHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1207 N 3RD ST, MARQUETTE, MI 49855-3009
(906) 273-0964
Mailing address
1207 N 3RD ST, MARQUETTE, MI 49855-3009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851116953
MI
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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