Shaquilla N Cooper, DSW, TCM, LCSW
NPI #1003476466 in Louisville, Kentucky
Provider Information
- NPI Number
- 1003476466
- Entity Type
- Individual
- Name
- Shaquilla N Cooper, DSW, TCM, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- DSW, TCM, LCSW
- Enumeration Date
- Jun 18, 2019
- Last Updated
- Oct 1, 2024
Practice Location
- Address
- 1828 BOLLING AVE
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40210-1908
- Phone
- (502) 536-7245
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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