Individual
AVERY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11512 B AVE, AUBURN, CA 95603-2605
(530) 889-7243
Mailing address
11512 B AVE, AUBURN, CA 95603-2605
(530) 889-7243
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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