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Individual

CORRIELLE TEANNA COOPER-OPARAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 DUNWOODY PARK STE 220, DUNWOODY, GA 30338-7404
(470) 702-9400
Mailing address
7500 SAN FELIPE ST STE 990, HOUSTON, TX 77063-1708
(866) 610-0580
(866) 611-1558

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
GA

Other

Enumeration date
06/23/2025
Last updated
06/23/2025
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