Individual
CAROL L COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
877 MADISON AVE, ALBANY, NY 12208-3321
(518) 482-8856
(518) 489-5839
Mailing address
877 MADISON AVE, ALBANY, NY 12208-3321
(518) 482-8856
(518) 489-5839
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
014046-1
NY
Other
Enumeration date
01/05/2007
Last updated
01/07/2013
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