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1952409294
TARA ANNE COPPOLA
PEACHTREE CORNERS, GA
NPI
1952409294
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW003058)
Enumeration Date
2006-09-20
Last Update Date
2023-11-06
Business Address
TARA ANNE COPPOLA LCSW
4006 HOLCOMB BRIDGE RD STE 210
PEACHTREE CORNERS, GA 30092-1814
Phone number: 678-444-4505
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Mailing Address
TARA ANNE COPPOLA LCSW
1648 DEER CREEK LN
MONROE, GA 30655-6273
Phone number: 678-488-1476
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