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Individual

BEVERLY COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
225 S SWOOPE AVE STE 211, MAITLAND, FL 32751-5786
(407) 622-0444
Mailing address
550 GILBERT RD, WINTER PARK, FL 32792-4829
(321) 945-6540

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
12/20/2013
Last updated
12/20/2013
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