Individual
BRIAN CHRISTOPHER COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-3403
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-3403
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33005692A
IN
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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