Individual
PAULINE SUE COOPER-NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GWS
Contact information
Practice address
4502 HIGHWAY 951, JACKSON, LA 70748
(225) 634-0224
(225) 634-0213
Mailing address
PO BOX 498, JACKSON, LA 70748-0498
(225) 634-0224
(225) 634-0213
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5344
LA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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