CHARLES J. COPPOLO

PORT JERVIS, NY
NPI1760520068
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  060301)
Enumeration Date2007-02-01
Last Update Date2007-07-08
Business Address
Mr. CHARLES J. COPPOLO LCSW
137 HAMMOND ST
PORT JERVIS, NY 12771-2608
Phone number: 845-858-8911
Mailing Address
Mr. CHARLES J. COPPOLO LCSW
137 HAMMOND ST
PORT JERVIS, NY 12771-2608
Phone number: 845-858-8911
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