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Organization
TARA COPPOLA LCSW INC
Active
Organization
TARA COPPOLA LCSW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA COPPOLA LCSW (PRINCIPAL)
(678) 488-1476
Entity
Organization
Contact information
Practice address
370 PROSPECT PL, ALPHARETTA, GA 30005-5467
(678) 488-1476
(678) 608-3827
Mailing address
3235 ENNFIELD LN, DULUTH, GA 30096-7721
(678) 488-1476
(678) 608-3827
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003058
GA
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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