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Individual

ALLEN COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RECOVERY ASSISTANT

Contact information

Practice address
6701 HWY 67 S BLDG 4, BENTON, AR 72015
(501) 315-3344
Mailing address
PO BOX 1589, BENTON, AR 72018
(501) 315-3344

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
AR

Other

Enumeration date
10/13/2010
Last updated
10/13/2010
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