Individual
ALICE COPPERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471
(541) 440-1000
Mailing address
170 WIESEN DR, GLIDE, OR 97443-9746
(541) 440-1000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2698
OR
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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