Individual
ADRIENNE COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
976 MAIN ST, E2, HACKENSACK, NJ 07601-5120
(201) 403-7036
Mailing address
976 MAIN ST, E2, HACKENSACK, NJ 07601-5120
(201) 403-7036
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05627400
NJ
Other
Enumeration date
05/12/2012
Last updated
05/12/2012
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