Individual
EBONI COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
6363 COVINA CT, MONTGOMERY, AL 36117-3111
(205) 573-5382
Mailing address
6363 COVINA CT, MONTGOMERY, AL 36117-3111
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
—
AL
171M00000X
Case Manager/Care Coordinator
—
AL
251B00000X
Case Management Agency
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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