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Individual
MRS. SARAH MOORE COOPER
Active
Individual
MRS. SARAH MOORE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCAS, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1564
NC
1041C0700X
Clinical Social Worker
Primary
C006747
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6112130
—
NC
Enumeration date
12/21/2007
Last updated
09/28/2015
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