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1013059674
AUTUMN MICHELLE COOPER
ARDMORE, OK
NPI
1013059674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 3658)
Enumeration Date
2007-02-12
Last Update Date
2012-12-03
Business Address
Mrs. AUTUMN MICHELLE COOPER MBS, LPC
405 S WASHINGTON ST
ARDMORE, OK 73401-7044
Phone number: 580-223-9705
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Mailing Address
Mrs. AUTUMN MICHELLE COOPER MBS, LPC
405 S WASHINGTON ST
ARDMORE, OK 73401-7044
Phone number: 580-223-9705
Copy
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