Stacey Cooper

NPI #1669265732 in Preston, Idaho

Provider Information

NPI Number
1669265732
Entity Type
Individual
Name
Stacey Cooper
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Enumeration Date
May 22, 2025
Last Updated
May 22, 2025

Practice Location

Address
75 S 1ST W
State
Idaho
ZIP Code
83263-1204
Phone
(208) 852-2370

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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