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Individual

DR. CAROL M COPELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, LCSW, BCD, ACSW

Contact information

Practice address
WILFORD HALL AMBULATORY SURG CENTER, 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236
(210) 292-6041
Mailing address
919 OLIVIA VW, SAN ANTONIO, TX 78260-4305
(703) 944-1854

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
015556
TX

Other

Enumeration date
10/05/2006
Last updated
04/24/2018
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