Coplan Therapeutic Ministries Llc | |
1508 W La Rua St Pensacola FL 32501-3633 | |
(850) 529-6264 | |
(850) 696-2347 |
Full Name | Coplan Therapeutic Ministries Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 1508 W La Rua St, Pensacola, Florida |
Authorized Official Name and Position | Lonnie James Swanagan (OWNER/THERAPIST) |
Authorized Official Contact | 8505296264 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Coplan Therapeutic Ministries Llc 1508 W La Rua St Pensacola FL 32501-3633 Ph: (850) 529-6264 | Coplan Therapeutic Ministries Llc 1508 W La Rua St Pensacola FL 32501-3633 Ph: (850) 529-6264 |
NPI Number | 1871883280 |
---|---|
Provider Enumeration Date | 04/19/2011 |
Last Update Date | 05/03/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871883280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW9413 (Florida) | Primary |
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