Individual
DENISE ANDREA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
635 COX RD STE B, GASTONIA, NC 28054-3441
(704) 691-7561
(704) 691-7563
Mailing address
15549 NORMANS LANDING DR, CHARLOTTE, NC 28273-7100
(847) 902-6012
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P015477
NC
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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