Individual
MRS. JESSICA MEAGAN COPPAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, PIP
Contact information
Practice address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 933-8101
Mailing address
804 FOREST HILLS CT, ALABASTER, AL 35007-4523
(205) 413-7657
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1406-4111C
AL
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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