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Individual
MS. KATHERINE LYNN COOPER
Active
Individual
MS. KATHERINE LYNN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LCAS, CCS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1469
NC
1041C0700X
Clinical Social Worker
Primary
COO5002
NC
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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