Tara Coppola Lcsw INC
Social Worker, Clinical in Alpharetta, GA. Organization (NPI-2).
NPI number1861650996
StatusActive
Last updated in NPPESMay 27, 2008
Details
- NPI
- 1861650996
- Entity type
- Organization (NPI-2)
- Legal business name
- Tara Coppola Lcsw INC
- Organization subpart
- No
- Enumeration date
- May 27, 2008
- Last updated
- May 27, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW003058 | GA | Yes |
Practice location
370 Prospect PlAlpharetta, GA 30005-5467
Phone 678-488-1476 · Fax 678-608-3827
Mailing address
3235 Ennfield LnDuluth, GA 30096-7721
Phone 678-488-1476 · Fax 678-608-3827
Authorized official
Tara Coppola
Principal
6784881476
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