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1124371026
BRENDA MARTIN COOPER
CHARLOTTE, NC
NPI
1124371026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 2115)
Enumeration Date
2012-10-17
Last Update Date
2023-02-23
Business Address
BRENDA MARTIN COOPER LCAS
7825 BALLANTYNE COMMONS PKWY
CHARLOTTE, NC 28277-3174
Phone number: 704-446-0391
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Mailing Address
BRENDA MARTIN COOPER LCAS
515 CLANTON RD
CHARLOTTE, NC 28217-1309
Phone number: 704-332-9001
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