Individual
MARIA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
611 COLLETON LOOP, WALTERBORO, SC 29488-3069
(843) 782-0031
Mailing address
611 COLLETON LOOP, WALTERBORO, SC 29488-3069
(843) 782-0031
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
258454
SC
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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