Individual
MARY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4307 PAXTON DR, FORNEY, TX 75126-3090
(512) 577-2255
Mailing address
7310 MANCHACA RD UNIT 151748, AUSTIN, TX 78715-5071
(512) 577-2255
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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