Individual
JAMIE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
700 SACO RD, BONNY EAGLE HIGH SCHOOL, STANDISH, ME 04084-6240
(207) 929-3840
Mailing address
118 GOODWINS MILLS RD, LYMAN, ME 04002-7528
(207) 636-6544
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11249
ME
Other
Enumeration date
09/17/2007
Last updated
07/24/2008
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