Individual
MR. DARYL PATRICK COPPADGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
770 WOODLANE RD, WESTAMPTON, NJ 08060-3804
(609) 267-5928
Mailing address
250 SOUTH 17TH STREET, SUITE101, PHILADELPHIA, PA 19103
(215) 545-7800
(215) 545-7870
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC01492200
NJ
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0043494
—
NJ
Enumeration date
08/25/2016
Last updated
03/08/2019
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