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Individual

AUDRA LEANN COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
527 CAPERTON LOOP, GREENWOOD, AR 72936-3511
(479) 551-8420
(501) 426-8270
Mailing address
PO BOX 1337, GREENWOOD, AR 72936-1337
(479) 551-8420
(501) 426-8270

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
104100000X
Social Worker
10148-M
AR
1041C0700X
Clinical Social Worker
Primary
10148C
AR

Other

Enumeration date
03/18/2020
Last updated
02/11/2026
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