Individual
CARLY COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
408 N EUCLID AVE, SUITE3S, SAINT LOUIS, MO 63108-1641
(314) 607-8444
Mailing address
805 BELLERIVE MANOR DR, SAINT LOUIS, MO 63141-3202
(314) 607-8444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2016024157
MO
Other
Enumeration date
09/03/2016
Last updated
02/15/2017
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