Individual
CHRISTINA ELISE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
490 VALENTINE WAY, OSWEGO, IL 60543-4054
(630) 267-0925
Mailing address
490 VALENTINE WAY, OSWEGO, IL 60543-4054
(630) 267-0925
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.013783
IL
Other
Enumeration date
04/13/2019
Last updated
04/13/2019
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