Individual
MARIEL COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
906 LAKEVIEW AVE, MILFORD, DE 19963-1732
(302) 422-1600
Mailing address
906 LAKEVIEW AVE, MILFORD, DE 19963-1732
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
O1-0001623
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
O1-0001623
STATE LICENSE
DE
Enumeration date
08/30/2017
Last updated
08/30/2017
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