Organization
CONSTANCE L COOPER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE L COOPER LCSW (OWNER)
(904) 233-8690
Entity
Organization
Contact information
Practice address
4040 WOODCOCK DR, BUILDING 2200, SUITE 232, JACKSONVILLE, FL 32207-2720
(904) 233-8690
Mailing address
4040 WOODCOCK DR, BUILDING 2200, SUITE 232, JACKSONVILLE, FL 32207-2720
(904) 233-8690
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW8901
FL
Other
Enumeration date
07/14/2008
Last updated
07/15/2008
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