Osvaldo Andres Del Valle Coppin, LCSWA
Social Worker, Clinical in Raeford, NC. Individual provider (NPI-1).
NPI number1497463517
StatusActive
Last updated in NPPESNov 8, 2022
Details
- NPI
- 1497463517
- Entity type
- Individual (NPI-1)
- Name
- Osvaldo Andres Del Valle Coppin
- Credential
- LCSWA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2022
- Certification date
- Nov 8, 2022
- Last updated
- Nov 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | P018445 | NC | Yes |
Practice location
402 Harris AveRaeford, NC 28376-3112
Phone 910-875-5590 · Fax 910-875-5008
Mailing address
109 Haywood DrRaeford, NC 28376-5314
Phone 910-870-8372
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