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1417542333
CAROLYN THERESE COPPEDGE
JACKSONVILLE, FL
NPI
1417542333
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW16367)
Enumeration Date
2021-03-03
Last Update Date
2022-08-05
Business Address
CAROLYN THERESE COPPEDGE LCSW
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207-8207
Phone number: 904-376-3800
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Mailing Address
CAROLYN THERESE COPPEDGE LCSW
PO BOX 748519
ATLANTA, GA 30374-8519
Phone number: 904-376-3800
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