Individual
TRACEY COPPOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
77 3RD ST STE 400, MONUMENT, CO 80132-8179
(719) 259-4951
Mailing address
6680 COUNTRY ESTATES LN, COLORADO SPRINGS, CO 80908-3001
(719) 237-6189
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9926369
CO
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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