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1134200405
ILENE L COOPER
MARIETTA, GA
NPI
1134200405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW003312)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Ms. ILENE L COOPER LCSW-C
2790 SANDY PLAINS RD STE 203
MARIETTA, GA 30066-4377
Phone number: 770-833-7318
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Mailing Address
Ms. ILENE L COOPER LCSW-C
3043 S MEADOW CT PATIENT ACCOUNTING
MARIETTA, GA 30062-5162
Phone number: 770-833-7318
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