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Individual
LESLIE ANN COOPER
Active
Individual
LESLIE ANN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801106641
MI
1041S0200X
School Social Worker
LG101439
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LG 101439
DC SOCIAL WORK LICENSE
DC
Enumeration date
11/06/2013
Last updated
03/31/2020
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