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Individual
PATSY ANN COOPER
Active
Individual
PATSY ANN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100734620C
—
OK
Enumeration date
01/22/2008
Last updated
02/07/2011
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