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Individual

AUDREY COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
405 S CLAIRBORNE RD STE 1, OLATHE, KS 66062-1774
(315) 262-7584
Mailing address
8009 PERRY ST APT 114, OVERLAND PARK, KS 66204-4747
(315) 262-7584

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3111
KS

Other

Enumeration date
11/18/2017
Last updated
11/18/2017
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