Doctor Name: | MRS. MICHELLE DAWN COPLEY |
NPI Number: | 1053413781 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | I-009647 |
Business Practice Address: | 17273 State Route 104 Chillicothe, OH - 456018608 |
Business Phone Number: | 7407731141 |
Business Fax Number: | |
Mailing Address: | 671 Watson Rd, BIDWELL |
State: | OH |
Postal Code: | 456149104 |
Phone Number: | 7404467377 |
Fax Number: | |
NPI Enumeration Date: | 09/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I-009647 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |