Individual
MRS. AMY JEAN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1803 WHITES RD, SUITE 5, KALAMAZOO, MI 49008-2883
(269) 345-5776
(269) 345-4011
Mailing address
1803 WHITES RD, SUITE 5, KALAMAZOO, MI 49008-2883
(269) 345-5776
(269) 345-4011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801095767
MI
Other
Enumeration date
12/09/2013
Last updated
10/10/2016
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