Individual
BROOKE LORENE COPENHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 TRENT STREET, PRINCETON, WV 24740
(304) 425-7111
(304) 425-1148
Mailing address
355 BLUEFIELD AVE, BLUEFIELD, WV 24701-2883
(304) 910-0979
(304) 425-1138
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1568796027
WV
Other
Enumeration date
06/25/2025
Last updated
07/09/2025
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