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Individual

JAMIE LYNN MCCOPPIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCAT, RDT

Contact information

Practice address
225 BROADWAY STE 2130, NEW YORK, NY 10007-3733
(414) 578-7665
Mailing address
4697 RIDGE BEND DR, NASHVILLE, TN 37207-3082
(414) 578-7655

Taxonomy

Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
002850
NY

Other

Enumeration date
06/20/2023
Last updated
06/20/2023
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