Individual
MRS. ALICIA JUDITH COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
3333 W 20TH ST, JACKSONVILLE, FL 32254-1703
(904) 695-0033
(904) 695-3324
Mailing address
3333 W 20TH ST, JACKSONVILLE, FL 32254-1703
(904) 695-0033
(904) 695-3324
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
07/09/2007
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