Provider Information for 1699167346
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Mrs. YUMI H COUPER LCSW
Sex: Female
NPI: 1699167346
Last Updated: 2019-12-05
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1699167346 | ||||||||||||
| Enumeration Date | 2015-03-04 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 650 JOEL DR FORT CAMPBELL, KY 42223-5318 United States Phone: 270-798-8400 | Fax: | ||||||||||||
| Primary Practice Address | 28531 TRISTANT RDG SAN ANTONIO, TX 78260 United States Phone: 706-573-9615 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 650 JOEL DR | ||||||||||||
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