MR. Charles J. Coppolo, LCSW
NPI #1760520068 in Port Jervis, New York
Provider Information
- NPI Number
- 1760520068
- Entity Type
- Individual
- Name
- MR. Charles J. Coppolo, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Feb 1, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 137 HAMMOND ST
- City
- Port Jervis
- State
- New York
- ZIP Code
- 12771-2608
- Phone
- (845) 858-8911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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