Individual
MS. ANDREA COUSPARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2310 W BROADWAY ST, MUSKOGEE, OK 74401-2761
(918) 682-7210
Mailing address
2310 W BROADWAY ST, MUSKOGEE, OK 74401-2761
(918) 682-7210
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21080
OK
Other
Enumeration date
10/15/2019
Last updated
12/10/2025
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