Goldie Lynn Cooper, LMSW,QMHP,QIDP,CMHP

NPI #1194275289 in Sault Sainte Marie, Michigan

Provider Information

NPI Number: 1194275289
Entity Type: Individual
Name: Goldie Lynn Cooper, LMSW,QMHP,QIDP,CMHP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LMSW,QMHP,QIDP,CMHP
Enumeration Date: Oct 12, 2016
Last Updated: Dec 20, 2018

Practice Location

Address: 3865 S MACKINAC TRL
City: Sault Sainte Marie
State: Michigan
ZIP Code: 49783-9286
Phone: (906) 635-3725

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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