Individual
GWEN COPENHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11139 WOOD AVE, BLUE ASH, OH 45242-1967
(513) 546-8090
Mailing address
11139 WOOD AVE, BLUE ASH, OH 45242-1967
(513) 546-8090
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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