Provider Information for 1538238381
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CARRIE COOPER LPCC
Sex: Female
NPI: 1538238381
Last Updated: 2007-07-09
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1538238381 | ||||||||
| Enumeration Date | 2006-11-07 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 920 W BROADWAY ST HOBBS, NM 88240-5529 United States Phone: 505-393-3168 | Fax:505-397-4659 | ||||||||
| Primary Practice Address | 920 W BROADWAY ST HOBBS, NM 88240-5529 United States Phone: 505-393-3168 | Fax:505-397-4659 | ||||||||
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