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Individual

MS. KEISHA NICOLE COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S

Contact information

Practice address
19 BALA AVE STE 302, BALA CYNWYD, PA 19004-3202
(844) 275-8716
(484) 483-4831
Mailing address
19 BALA AVE STE 302, BALA CYNWYD, PA 19004-3202
(844) 275-8716
(484) 483-4831

Taxonomy

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

Other

Enumeration date
05/13/2015
Last updated
05/13/2015
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