Individual
TANINA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 N 7TH ST, WAKEENEY, KS 67672-1904
(785) 324-0059
Mailing address
424 N 7TH ST, WAKEENEY, KS 67672-1904
(785) 324-0059
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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