Individual
MRS. BOBBY JEAN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12309 BRETON OAK LN, RIVERVIEW, FL 33569-8227
(813) 245-5549
Mailing address
12309 BRETON OAK LN, RIVERVIEW, FL 33569-8227
(813) 245-5549
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 9004
FL
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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