Constance L Cooper PA
Social Worker, Clinical in Jacksonville, FL. Organization (NPI-2).
NPI number1508020140
StatusActive
Last updated in NPPESJul 15, 2008
Details
- NPI
- 1508020140
- Entity type
- Organization (NPI-2)
- Legal business name
- Constance L Cooper PA
- Organization subpart
- No
- Enumeration date
- Jul 14, 2008
- Last updated
- Jul 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW8901 | FL | Yes |
Practice location
4040 Woodcock DrBuilding 2200, Suite 232
Jacksonville, FL 32207-2720
Phone 904-233-8690
Mailing address
4040 Woodcock DrBuilding 2200, Suite 232
Jacksonville, FL 32207-2720
Phone 904-233-8690
Authorized official
Constance L Cooper
Owner
9042338690
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