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Individual
MS. LIZBETH K COOPER
Active
Individual
MS. LIZBETH K COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149001425
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08838
MANAGED HEALTH NETWORK
—
01
—
1633897
BCBS GROUP PROVIDER NUMBER
IL
01
—
207844
GROUP MEDICARE NUMBER
IL
Enumeration date
01/17/2007
Last updated
06/24/2008
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