Individual
MELISSA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1011 MAIN ST, COLUMBUS, MS 39701-4751
(662) 327-7916
Mailing address
302 N JACKSON ST, STARKVILLE, MS 39759-2504
(626) 327-7916
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7752
MS
Other
Enumeration date
09/14/2007
Last updated
09/18/2020
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