Individual
SHAWNA RAE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
614 BILLY SUNDAY RD STE 100, AMES, IA 50010-8048
(515) 337-1764
(515) 337-0480
Mailing address
1616 NE MEADOW CT, ANKENY, IA 50021-2505
(515) 571-4877
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
076888
IA
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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