Individual
AUTUMN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 W FRANKLIN ST, JACKSON, MI 49201-2148
(517) 788-9147
Mailing address
330 W FRANKLIN ST, JACKSON, MI 49201-2148
(517) 788-9147
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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