Individual
MRS. LANESHIA NATORIA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
702 OSSIE DAVIS PKWY, WAYCROSS, GA 31501-4656
(912) 550-8838
Mailing address
PO BOX 561, WAYCROSS, GA 31502-0561
(912) 550-8838
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW005743
GA
Other
Enumeration date
07/14/2012
Last updated
06/19/2019
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