Individual
CAROLE LOUISE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LBSW
Contact information
Practice address
7870W US HIGHWAY 2, MANISTIQUE, MI 49854-1599
(906) 341-3284
Mailing address
7870W US HIGHWAY 2, MANISTIQUE, MI 49854-1599
(906) 341-3284
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802063283
MI
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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