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Individual

DR. MARLIN COPPOCK HOOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
16325 HARLEM AVE, SUITE 200, TINLEY PARK, IL 60477-2509
(708) 429-6999
(708) 429-6909
Mailing address
16325 HARLEM AVE, SUITE 200, TINLEY PARK, IL 60477-2509
(708) 429-6999
(708) 429-6909

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071003290
IL

Other

Enumeration date
12/19/2005
Last updated
11/26/2007
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