Individual
MRS. DAPHANIE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4229 N 74TH ST, MILWAUKEE, WI 53216-1076
(414) 418-7711
Mailing address
4229 N 74TH ST, MILWAUKEE, WI 53216-1076
(414) 418-7711
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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