Individual
KIMBERLY COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1418 W HICKORY ST, STILWELL, OK 74960-3247
(918) 575-0479
Mailing address
26460 HIGHWAY 100, WELLING, OK 74471-2439
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7932
OK
Other
Enumeration date
02/02/2016
Last updated
07/21/2025
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