Individual
DELISSA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6440 NIEMAN RD, SHAWNEE, KS 66203-3326
(913) 826-4000
(913) 826-1589
Mailing address
6000 LAMAR AVE, SUITE 130, MISSION, KS 66202-3234
(913) 826-4200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05836
KS
Other
Enumeration date
05/02/2014
Last updated
08/02/2022
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