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Individual

MRS. DANICA BEAULAC COPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW/MA LCSW/VA

Contact information

Practice address
13649 OFFICE PL, 102, WOODBRIDGE, VA 22192-4215
(703) 670-5738
(703) 670-8213
Mailing address
13649 OFFICE PL, 102, WOODBRIDGE, VA 22192-4215
(703) 670-5738
(703) 670-8213

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006764
VA
1041C0700X
Clinical Social Worker
112105
MA

Other

Enumeration date
12/08/2006
Last updated
01/16/2020
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