Individual
MRS. STEPHANIE A COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
601 W GEORGE ST, CARMICHAELS, PA 15320-1325
(724) 966-5081
Mailing address
1070 OLD NATIONAL PIKE, FREDERICKTOWN, PA 15333-2114
(724) 632-6801
(724) 632-6312
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007288440093
—
PA
01
—
328834A764918
VALUE BEHAVIORAL HEALTH
PA
Enumeration date
06/10/2008
Last updated
06/10/2008
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