Provider Information for 1841661576
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MARISSA COPELAND MS, PLPC
Sex: Female
NPI: 1841661576
Last Updated: 2021-08-09
Certification Date: 2021-08-09
Certification Date: 2021-08-09
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1841661576 | ||||||||
| Enumeration Date | 2015-10-07 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5420 DOWNING ST APT 8C ALEXANDRIA, LA 71301-3120 United States Phone: 318-446-0592 | Fax: | ||||||||
| Primary Practice Address | 5420 DOWNING ST APT 8C ALEXANDRIA, LA 71301-3120 United States Phone: 318-446-0592 | Fax: | ||||||||
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