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Individual

ASHLEY SIERRA COPEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LICSW

Contact information

Practice address
303 OHIO AVE, CHARLESTON, WV 25302-2212
(681) 205-8720
Mailing address
104 ALEX LN, CHARLESTON, WV 25304-2952
(304) 734-2040
(304) 734-2047

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
DP00945240
WV
1041C0700X
Clinical Social Worker
Primary
DP00945240
WV

Other

Enumeration date
09/18/2020
Last updated
09/03/2024
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