Individual
YVONNE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 N PALAFOX ST, SUITE 103, FORT WALTON BEACH, FL 32547
(850) 266-2700
Mailing address
1300 N PALAFOX ST, SUITE 103, FORT WALTON BEACH, FL 32547
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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