Individual
ALICE DELO COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12 EXECUTIVE PARK DRIVE, ATLANTA, GA 30322-4200
(404) 686-6515
Mailing address
1525 CLIFTON RD NE STE 483, ATLANTA, GA 30322-4200
(404) 778-5570
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004531
GA
Other
Enumeration date
07/25/2017
Last updated
02/09/2021
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