Individual
MISS ELIZABETH ANNE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
914 CONCORDIA LN APT 2S, CLAYTON, MO 63105
(815) 621-0763
Mailing address
914 CONCORDIA LN APT 2S, CLAYTON, MO 63105-3049
(815) 621-0763
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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