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Individual

CHRISTOPHER JOHN COPPEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
107 S DIVISION ST, SPOKANE, WA 99202
(509) 838-4651
(509) 363-2762
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00007807
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1689681710
WA
01
4952CO
ASURIS NORTHWEST
WA
01
910564952
MOLINA
WA
Enumeration date
08/02/2006
Last updated
05/31/2018
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