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Organization
DOGWOOD MENTAL HEALTH AND WELLNESS, LLC
Active
Organization
DOGWOOD MENTAL HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASKELL STEPHEN COOPER PHD, LCSW (MANAGING MEMBER)
(936) 622-0993
Entity
Organization
Contact information
Practice address
412 NORTH ST, SUITE B, NACOGDOCHES, TX 75961-5077
(936) 622-0993
(936) 622-0994
Mailing address
PO BOX 632279, NACOGDOCHES, TX 75963-2279
(936) 622-0993
(936) 622-0994
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34017
TX
Other
Enumeration date
01/27/2014
Last updated
02/14/2014
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