Individual
KEYONA COOPER
Active
Individual
KEYONA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
23509
MD
1041C0700X
Clinical Social Worker
Primary
LC50082509
DC
Other
Enumeration date
07/11/2019
Last updated
09/04/2020
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