Individual
JENNIFER A COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
110 HEATHER LN, SUITE 101, LAKE JACKSON, TX 77566-6216
(979) 297-4335
(979) 297-4315
Mailing address
110 HEATHER LN, SUITE 101, LAKE JACKSON, TX 77566-6216
(979) 297-4335
(979) 297-4315
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
37872
TX
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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