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Individual

ANASTASIA COPPOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2453 ATWOOD AVE STE 201, MADISON, WI 53704-5655
(608) 218-0967
Mailing address
2453 ATWOOD AVE STE 201, MADISON, WI 53704-5655
(608) 218-0967

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131375-121
WI
1041C0700X
Clinical Social Worker
Primary
9887-123
WI

Other

Enumeration date
04/09/2019
Last updated
01/21/2026
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