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CARMEN COOPER DAVIS

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1710399878

Individual Registrant:
 CARMEN  COOPER DAVIS 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
205B CHURCH ST  ANDALUSIA, AL 36420-3701 US
Tel: 334-892-3252  Fax: --

Contact information for business:
205B CHURCH ST  ANDALUSIA, AL 36420-3701 US
Tel: 334-892-3252  Fax: --

Registration Information:
NPI: 1710399878
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
AL3419G

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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