Tara Anne Coppola LCSW

NPI 1952409294 - Social Worker - 1041C0700X

NPI Details
NPI 1952409294
Gender Female
Enumeration Date 09/20/2006
Last Updated 10/02/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
ALPHARETTA GA, 30005-5467, US
Phone (678) 488-1476
Fax (678) 608-3827
Business Location
DULUTH GA, 30096-7721, US
Phone (678) 488-1476
Fax (678) 608-3827
Taxonomy Code 1041C0700X
License State Georgia
License Number CSW003058
Remove 1952409294 NPI Number

According to our database, Tara Anne Coppola LCSW NPI is 1952409294, taxonomy code is 1041C0700X and license number is CSW003058, license state is located at Georgia. Tara Anne Coppola LCSW physically located at 370 Prospect Pl, Alpharetta GA, 30005-5467. NPI Number Tara Anne Coppola LCSW has the Individual type.

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1952409294 NPI number is provided on an as is basis without warranty of any kind. 1952409294 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Anne Coppola LCSW are for informational purposes only.