Individual
DIANE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
87 MAIN ST, RUTLAND, MA 01543-1327
(508) 731-9006
Mailing address
87 MAIN ST, RUTLAND, MA 01543-1327
(508) 731-9006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5477
MA
Other
Enumeration date
10/23/2009
Last updated
03/12/2025
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