TARA ANNE COPPOLA LCSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1952409294- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LCSW
- Status
- Active
Contact & Location
- Address
- 4006 HOLCOMB BRIDGE RD STE 210, PEACHTREE CORNERS, GA, 300921814
- Phone
- (678) 444-4505
- Fax
- (678) 606-9316
Specialties & Taxonomies
Social Worker, Clinical
Primary License: GA #CSW003058