Individual
SHANNON COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10602 BRACKEN BRANCH CT, LOUISVILLE, KY 40223-3704
(502) 645-5266
Mailing address
10602 BRACKEN BRANCH CT, LOUISVILLE, KY 40223-3704
(502) 645-5266
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/01/2015
Last updated
01/01/2015
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