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Individual

MRS. MAUREEN R COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
1469 S MAIN, GENTLE SHEPHERD COUNSELING CENTER, NORTH CANTON, OH 44720
(330) 499-3065
(330) 499-2497
Mailing address
1536 BAYCREST DR NW, CANTON, OH 44708
(330) 456-7249

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0001806
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000140317
ANTHEM BC BS
OH
01
7447117
AETNA
OH
Enumeration date
12/26/2006
Last updated
07/08/2007
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