Mary Cooper, LCSW

NPI #1124300769 in Checotah, Oklahoma

Provider Information

NPI Number: 1124300769
Entity Type: Individual
Name: Mary Cooper, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LCSW
Enumeration Date: Sep 9, 2011
Last Updated: Dec 18, 2019

Practice Location

Address: 229 W GENTRY AVE
City: Checotah
State: Oklahoma
ZIP Code: 74426-2439
Phone: (918) 473-1575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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