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1225813025
KEO L COPELAND
JEFFERSON, GA
NPI
1225813025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW008945)
Enumeration Date
2023-08-29
Last Update Date
2024-07-30
Business Address
KEO L COPELAND LMSW
2748 WINDER HWY
JEFFERSON, GA 30549-5466
Phone number: 706-521-3113
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Mailing Address
KEO L COPELAND LMSW
43 BAILEY PARK CT
JEFFERSON, GA 30549-7108
Phone number: 706-248-7045
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