Individual
MRS. ELIZABETH ROSE CHAMPION COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
17273 STATE ROUTE 104, BLDG 28 RM 229, CHILLICOTHE, OH 45601-9718
(740) 773-1141
Mailing address
17273 STATE ROUTE 104, BLDG 28, RM 229, CHILLICOTHE, OH 45601-9718
(740) 773-1141
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S. 1302099
OH
Other
Enumeration date
11/24/2014
Last updated
01/20/2015
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