Individual
MRS. LATONYA R COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2401 VALLEY DR, VALPARAISO, IN 46383-2520
(888) 580-1060
Mailing address
2946 W 60TH DR, MERRILLVILLE, IN 46410-2223
(219) 985-8105
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33006441A
IN
1041C0700X
Clinical Social Worker
Primary
34007705A
IN
Other
Enumeration date
02/03/2013
Last updated
09/24/2021
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