Individual
JACQUELYN MARIE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 NEBRASKA AVE, TOLEDO, OH 43607-4222
(419) 841-7701
(419) 255-4037
Mailing address
2005 ASHLAND AVE, TOLEDO, OH 43620-1703
(419) 841-7701
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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