Individual
SAMANTHA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
108 PALMETTO PARK BLVD STE D, LEXINGTON, SC 29072-7969
(843) 701-2499
Mailing address
815 VANGUARD ST, LEXINGTON, SC 29073-9791
(843) 701-2499
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12768
SC
Other
Enumeration date
10/03/2018
Last updated
04/23/2024
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