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MR. RICHARD GLEN COOMER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1169 EASTERN PARKWAY, STE 411 MEDICAL ARTS BLDG, LOUISVILLE, KY 40217
(502) 473-7028
(502) 454-0666
Mailing address
1169 EASTERN PARKWAY, STE 411 MEDICAL ARTS BLDG, LOUISVILLE, KY 40217
(502) 473-7028
(502) 454-0666

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSWC514
KY

Other

Enumeration date
02/15/2006
Last updated
07/08/2007
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