Individual
CRYSTAL ELIZABETH COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16110 JAMAICA AVE, JAMAICA, NY 11432-6139
(718) 704-5488
Mailing address
16110 JAMAICA AVE FL 2, JAMAICA, NY 11432-6139
(718) 704-5488
(718) 704-5485
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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