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Individual
TIFFANY COOPER
Active
Individual
TIFFANY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APCC, MA
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
15777
CA
Other
Enumeration date
04/22/2020
Last updated
04/05/2024
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