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Organization
PAMELA COOPER LCSW CAC III LLC
Active
Organization
PAMELA COOPER LCSW CAC III LLC
Active
Parent organization
PAMELA COOPER, LCSW, CAC III LLC
Other names
Pamela Goodfriend, LCSW, CAC III
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAMELA COOPER, LCSW, CAC III LLC
Authorized official
MS. PAM G COOPER LCSW, CAC III (PROVIDER)
(303) 269-1191
Entity
Organization
Contact information
Practice address
3570 E 12TH AVE STE 303, DENVER, CO 80206-3434
(303) 269-1191
(303) 395-1462
Mailing address
3570 E 12TH AVE STE 303, DENVER, CO 80206-3434
(303) 269-1191
(303) 395-1462
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
575
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700940368
INDIVIDUAL MEDICARE NPI
CO
Enumeration date
10/23/2014
Last updated
04/30/2018
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