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Individual

DR. CANDICE P. COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
500 LANIER AVE W, SUITE 908, FAYETTEVILLE, GA 30214-7636
(678) 561-4468
Mailing address
500 LANIER AVE W, SUITE 908, FAYETTEVILLE, GA 30214-7636
(716) 348-9483

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001322
GA

Other

Enumeration date
01/03/2013
Last updated
03/03/2015
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