Individual
CONSTANCE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6261 DUPONT STATION CT, JACKSONVILLE, FL 32217-2567
(904) 394-5761
(904) 448-0349
Mailing address
4350 HIAWATHA ST, JACKSONVILLE, FL 32210-5958
(904) 233-8690
(904) 448-0349
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW8901
FL
Other
Enumeration date
02/01/2008
Last updated
08/01/2008
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