Individual
JULIE COPENHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 MARYLAND AVE, MCCOMB, MS 39648-3926
(601) 250-4815
Mailing address
1309 SOUTHWOOD DR, LUFKIN, TX 75904-4943
(936) 635-2050
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10400
TX
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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