Individual
DAMEKICA N COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
20200 VEACH ST, DETROIT, MI 48234-3218
(586) 420-0367
Mailing address
14120 15 MILE RD APT 110, STERLING HEIGHTS, MI 48312-5561
(313) 627-1868
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
230005622360101
MI
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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