Individual
COOPER LEE COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 BUDDY HOLLY PL, CLEAR LAKE, IA 50428-3735
(641) 352-7671
Mailing address
302 BRIDGE ST, PLYMOUTH, IA 50464-7739
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1457649
IA
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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