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1013508993
MARY AMY COOPER
HICKORY, NC
NPI
1013508993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC LCAS-26622)
Enumeration Date
2021-02-02
Last Update Date
2021-02-02
Business Address
MARY AMY COOPER LCAS-A
929 15TH ST NE STE 100
HICKORY, NC 28601-4162
Phone number: 828-327-6026
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Mailing Address
MARY AMY COOPER LCAS-A
4330 VIOLA SIPE DR
CONOVER, NC 28613-8839
Phone number: 828-256-3436
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