Individual
ANGELINA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3767 WINDERMERE DR, SAINT JOSEPH, MI 49085-9483
(614) 600-9779
Mailing address
3767 WINDERMERE DR, SAINT JOSEPH, MI 49085-9483
(614) 600-9779
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17395
AZ
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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