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1861257073
BRENT TODD COPPOCK
WICHITA, KS
NPI
1861257073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: KS 04611)
Enumeration Date
2024-02-16
Last Update Date
2024-02-23
Business Address
BRENT TODD COPPOCK LPC
7570 W 21ST ST N STE B
WICHITA, KS 67205-1734
Phone number: 316-239-1880
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Mailing Address
BRENT TODD COPPOCK LPC
7570 W 21ST ST N STE B
WICHITA, KS 67205-1734
Phone number: 316-239-1880
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