JESSE OLSON COPPENBARGER

JACKSON, MS
NPI1679118665
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MS  C8634)
Enumeration Date2019-11-13
Last Update Date2019-11-13
Business Address
JESSE OLSON COPPENBARGER
3624 NORTHVIEW DR
JACKSON, MS 39206-5720
Phone number: 601-503-3425
Mailing Address
JESSE OLSON COPPENBARGER
3624 NORTHVIEW DR
JACKSON, MS 39206-5720
Phone number: 601-503-3425
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