Individual
PEGGY R COPULSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
2669 KINARD ST, NEWBERRY, SC 29108-2911
(803) 276-7570
Mailing address
PO BOX 497, NEWBERRY, SC 29108-0497
(803) 276-7570
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8472
SC
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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