Individual
KATIE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1777 MAPLE ST APT 1, WEST LINN, OR 97068-3524
(760) 220-1376
Mailing address
1777 MAPLE ST APT 1, WEST LINN, OR 97068-3524
(760) 220-1376
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
28944
CA
Other
Enumeration date
06/14/2021
Last updated
07/17/2023
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