Individual
MISS MICHELLE DIANE COPPAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PC
Contact information
Practice address
3437 CLIFTMONT AVE, BALTIMORE, MD 21213-1909
(410) 488-8674
Mailing address
3437 CLIFTMONT AVE, BALTIMORE, MD 21213-1909
(410) 488-8674
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
MD
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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