PHILLIPE WAYNE COPELAND

MATTAPAN, MA
NPI1043370968
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MA  113764)
Enumeration Date2006-12-11
Last Update Date2020-06-25
Business Address
MR. PHILLIPE WAYNE COPELAND LICSW
201 RIVER ST
MATTAPAN, MA 02126-2713
Phone number: 617-534-9172
Mailing Address
MR. PHILLIPE WAYNE COPELAND LICSW
1010 MASSACHUSETTS AVENUE
BOSTON, MA 02118
Phone number: 617-534-4212
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