Individual
SIDDIQAH T COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2309 PRESTIGIOUS LN APT E, CHARLOTTE, NC 28269-9636
(704) 208-8438
Mailing address
2309 PRESTIGIOUS LN APT E, CHARLOTTE, NC 28269-9636
(704) 208-8438
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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