Individual
MARY COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C.D, CF-SLP
Contact information
Practice address
6245 HIGHWAY 160, COTTON VALLEY, LA 71018-3164
(318) 832-4716
Mailing address
2076 METHODIST CAMP LOOP, MINDEN, LA 71055-7696
(662) 910-9881
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9417
LA
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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