Individual
MRS. HEATHER A COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 ST FRANCIS DR, BRECKENRIDGE, MN 56520-1025
(218) 643-3000
Mailing address
515 4TH ST N, WAHPETON, ND 58075-3934
(701) 642-9349
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7405
MN
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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