Individual
JAEDN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 S BROADWAY AVE, WICHITA, KS 67202-4304
(316) 660-9600
Mailing address
271 W 3RD ST N STE 600, WICHITA, KS 67202-1223
(316) 660-7600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
07238
KS
Other
Enumeration date
07/18/2023
Last updated
06/03/2026
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