Individual
JENNETTE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8066 WALNUT RUN RD STE 102, CORDOVA, TN 38018-8842
(901) 410-3595
Mailing address
3247 SCHEIBLER RD, MEMPHIS, TN 38128-4908
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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