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Individual

DESI ALONZO COPELAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW SOCIAL WORK LLC

Contact information

Practice address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(248) 495-5988
Mailing address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(248) 495-5988

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6851117053
MI
104100000X
Social Worker
6851117053
MI

Other

Enumeration date
09/01/2023
Last updated
09/26/2024
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