Individual
MYCHAL COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4751 BEST RD STE 400R, ATLANTA, GA 30337-5609
(470) 775-3195
Mailing address
441 WALNUT CREEK DR, STOCKBRIDGE, GA 30281-5878
(270) 312-5386
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11652-C
NV
1041C0700X
Clinical Social Worker
CSW006928
GA
Other
Enumeration date
07/31/2012
Last updated
11/21/2024
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