Individual
ALICIA MAE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Contact information
Practice address
6742 ANNANHILL PL, COLORADO SPRINGS, CO 80922-3704
(435) 210-1356
Mailing address
1795 JET WING DR, COLORADO SPRINGS, CO 80916-2332
(719) 572-6100
(719) 572-6089
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
10294304-3501
UT
1041C0700X
Clinical Social Worker
Primary
CSW.09929085
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/24/2016
Last updated
01/09/2024
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