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Organization

COPE CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CHERYL ANN STULZAFT (COMPREHENSIVE ASSESSOR)
(850) 218-3532
Entity
Organization

Contact information

Practice address
103 PINEHAVEN DR, MARY ESTHER, FL 32569-3323
(850) 218-3532
Mailing address
103 PINEHAVEN DR, MARY ESTHER, FL 32569-3323
(850) 218-3532

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW 3621
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
766724800
FL
Enumeration date
09/11/2006
Last updated
08/08/2008
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