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1528497088
EBONY COOPER
COLUMBIA, SC
NPI
1528497088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-11-05
Last Update Date
2013-11-05
Business Address
-- EBONY COOPER MSW
2711 COLONIAL DRIVE
COLUMBIA, SC 29203
Phone number: 803-726-9421
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Mailing Address
-- EBONY COOPER MSW
2711 COLONIAL DR
COLUMBIA, SC 29203
Phone number: 803-726-9421
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