Individual
BRE'SHON SHERIE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
362 RENA DR, LAFAYETTE, LA 70503-4350
(318) 613-5963
Mailing address
362 RENA DR, LAFAYETTE, LA 70503-4350
(318) 613-5963
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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