Individual
MARY SHEVON HACKETT COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 SUMMIT AVE, GREENSBORO, NC 27405-7740
(336) 333-6853
Mailing address
6220 THERMAL RD, CHARLOTTE, NC 28211-5630
(704) 362-6759
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A14868
NC
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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