Individual
MISS CHRISTINE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1925 OLD MOULTON RD, DECATUR, AL 35601-2752
(256) 227-5438
Mailing address
1925 OLD MOULTON RD, DECATUR, AL 35601-2752
(256) 227-5438
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
AL
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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