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Individual

CHRISTINA G. COPELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1640 W ROOSEVELT RD, ROOM 336 (M/C 628), CHICAGO, IL 60608-1316
(312) 413-1563
(312) 413-1993
Mailing address
3911 N SACRAMENTO AVE, CHICAGO, IL 60618-3517
(312) 413-1563
(312) 413-1993

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
IL
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
10/04/2006
Last updated
09/11/2025
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