Usually means: Adult Children of Alcoholic parents.
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We found 5 dictionaries that define the word acoa:

General (2 matching dictionaries)
  1. ACOA(F&A), ACOA: Dictionary.com
  2. ACOA: Stammtisch Beau Fleuve Acronyms

Miscellaneous (3 matching dictionaries)
  1. ACOA(F&A), ACOA: Acronym Finder
  2. AbbreviationZ (No longer online)

Definitions from Wikipedia (Acoa)

noun:  Acoa, in Habersham County, Georgia, near Hollywood, Georgia, was built in 1834.


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