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Individual

MARIE ANN COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CO60824351

Contact information

Practice address
11719 NE 95TH ST STE D, VANCOUVER, WA 98682-2444
(360) 397-8246
(360) 397-8455
Mailing address
4223 ADDY LOOP, WASHOUGAL, WA 98671-2748
(360) 356-4579

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
01/19/2018
Last updated
01/26/2022
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