Individual
COREY SOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, CAADC, CCS
Contact information
Practice address
400 STODDARD RD, RICHMOND, MI 48062-2505
(810) 392-2167
Mailing address
400 STODDARD RD, RICHMOND, MI 48062-2505
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801097132
MI
Other
Enumeration date
08/09/2019
Last updated
06/25/2024
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