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1013533223
ALBERTA COOPER
WADESBORO, NC
NPI
1013533223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-21163)
Enumeration Date
2020-06-23
Last Update Date
2020-10-09
Business Address
ALBERTA COOPER LCAS-A
704 OLD LILESVILLE RD
WADESBORO, NC 28170-2820
Phone number: 704-694-6588
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Mailing Address
ALBERTA COOPER LCAS-A
284 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025-1833
Phone number: 704-939-1100
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