Individual
HEATHER COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 E DELAWARE PL APT 10E, CHICAGO, IL 60611-4969
(312) 642-7191
Mailing address
1 E DELAWARE PL APT 10E, CHICAGO, IL 60611-4969
(312) 642-7191
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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