Organization
COPLAN THERAPEUTIC MINISTRIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LONNIE JAMES SWANAGAN LCSW (OWNER/THERAPIST)
(850) 529-6264
Entity
Organization
Contact information
Practice address
1508 W LA RUA ST, PENSACOLA, FL 32501-3633
(850) 529-6264
(850) 696-2347
Mailing address
1508 W LA RUA ST, PENSACOLA, FL 32501-3633
(850) 529-6264
(850) 696-2347
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW9413
FL
Other
Enumeration date
04/19/2011
Last updated
05/03/2011
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