Individual
DEANNA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1006 MUNICIPAL DR, FARMINGTON, NM 87401-5442
(505) 325-1720
(505) 325-1611
Mailing address
1006 MUNICIPAL DR, FARMINGTON, NM 87401-5442
(505) 325-1720
(505) 325-1611
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I 2143
NM
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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