Individual
MRS. HEIDI DANA LIPSON COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
54 GUNDERMAN RD, ITHACA, NY 14850-8624
(607) 277-3060
Mailing address
54 GUNDERMAN RD, ITHACA, NY 14850-8624
(607) 277-3060
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
052886-1
NY
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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