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Organization

EXCEPTIONAL MATTERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. YVONNEDA SHERRIE COPELAND LCSW (PARTNER)
(469) 544-9932
Entity
Organization

Contact information

Practice address
14071 BIG CREST LANE, 208, WOODBRIDGE, VA 22191
(469) 544-9932
(703) 590-3276
Mailing address
PO BOX 323, WOODBRIDGE, VA 22194

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007292
VA

Other

Enumeration date
11/17/2011
Last updated
11/17/2011
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