Individual
JENNY LYNN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
902 E 4TH ST, STE 104, JOPLIN, MO 64801-0001
(417) 540-8527
Mailing address
902 E 4TH ST, STE 104, JOPLIN, MO 64801-0001
(417) 540-8527
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2020023694
MO
Other
Enumeration date
06/07/2018
Last updated
10/28/2020
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