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Individual
SANDY COOPER
Active
Individual
SANDY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801070117
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13146
COMPSYCH
MI
01
—
2135335
CIGNA
MI
01
—
P11126213
MULTIPLAN
MI
Enumeration date
06/09/2006
Last updated
02/03/2015
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