MS. Marissa Elizabeth Cooley, MSED

NPI #1881821098 in Makanda, Illinois

Provider Information

NPI Number: 1881821098
Entity Type: Individual
Name: MS. Marissa Elizabeth Cooley, MSED
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: MSED
Enumeration Date: Jun 15, 2009
Last Updated: Jun 15, 2009

Practice Location

Address: 2 PRIVATE ROAD PQQ
City: Makanda
State: Illinois
ZIP Code: 62958-2400
Phone: (217) 251-0611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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