Individual
AUDREY COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSWA
Contact information
Practice address
5108 REAGAN DR STE 14, CHARLOTTE, NC 28206-1395
(704) 332-8787
Mailing address
2670 DURHAM CHAPEL HILL BLVD, DURHAM, NC 27707-2829
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P011906
NC
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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