Individual
JAZMINE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
176 RIVERBROOKE DR, SHREVEPORT, LA 71115-3258
(318) 658-9927
(318) 658-9947
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14377
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/12/2017
Last updated
03/28/2024
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