Individual
SUSAN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
924 PASEO DE PERALTA STE 9, SANTA FE, NM 87501-2775
(505) 603-9184
Mailing address
924 PASEO DE PERALTA STE 9, SANTA FE, NM 87501-2775
(505) 603-9184
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C09068
NM
1041C0700X
Clinical Social Worker
SW12227
FL
Other
Enumeration date
09/11/2014
Last updated
06/17/2021
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