Individual
ROSEMARY GRACE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 722-1539
Mailing address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 722-1539
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
SC60783028
WA
171M00000X
Case Manager/Care Coordinator
Primary
SC60783028
WA
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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