Individual
CHANDRA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 W CAPITOL DR, MILWAUKEE, WI 53216-2530
(414) 501-7312
Mailing address
9451 N CARLOTTA LN, BROWN DEER, WI 53223-1365
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4057-226
WI
Other
Enumeration date
08/24/2018
Last updated
08/21/2023
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