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Individual

STEPHANIE COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
587 E STATE ROAD 434 UNIT 1021, LONGWOOD, FL 32750-5284
(407) 331-8002
Mailing address
4751 N GOLDENROD RD APT A, WINTER PARK, FL 32792-9091

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
01/25/2016
Last updated
01/25/2016
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