Individual
MS. ANNA MARIE COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1927 S JESSUP ST, PHILADELPHIA, PA 19148-2211
(914) 348-1408
Mailing address
1927 S JESSUP ST, PHILADELPHIA, PA 19148-2211
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
CW022863
PA
Other
Enumeration date
05/30/2019
Last updated
07/22/2024
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