Mary Cooper

NPI #1770062564 in Live Oak, Florida

Provider Information

NPI Number: 1770062564
Entity Type: Individual
Name: Mary Cooper
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Aug 13, 2018
Last Updated: Aug 13, 2018

Practice Location

Address: 920 NOBLES FERRY RD
City: Live Oak
State: Florida
ZIP Code: 32064-8463
Phone: (352) 374-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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